TIMOTHY JAY FIELDS (NPI# 1922661016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922661016 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAY FIELDS |
| Credential | MD |
| Practice Address |
600 Roe Ave Elmira NY 14905-1629 |
| Mailing Address |
39 Peru St Apt 2 Burlington VT 05401-4337 |
| Practice Telephone | 6074421713 |
| Mailing Telephone | 2069496579 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497731764 | Timothy Reed Fields | Optometrist | 2320 N Belt Hwy, Saint Joseph, MO 64506-2208 | 2005-12-19 |
| 1902377013 | Timothy Fields | Counselor | 120 S 3rd St, Yakima, WA 98901-2875 | 2018-12-16 |
| 1972048056 | Timothy Wayne Fields II | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75390-9121 | 2016-12-28 |
| 1164505327 | Timothy Allen Fields | Pathology | 3901 Rainbow Blvd, 4070 Delp Mail Stop 4017, Kansas City, KS 66160-0001 | 2006-10-23 |
| Street Address |
600 ROE AVE |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184629768 | Ziya Bilen | Internal Medicine | 600 Roe Ave, Elmira, NY 14905-1629 | 2005-06-20 |
| 1619583697 | Kelsey Ann Young | Physician Assistant | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-09-16 |
| 1053933499 | Branden Riggins | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-08 |
| 1184245664 | Bradley Steven Phelps | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-06 |
| 1497376263 | Lucas Edward Place | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-05-02 |
| 1568083475 | John Michael Yavorski IIi | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1676 | 2020-05-01 |
| 1083235139 | Devin Craig Thompson | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-29 |
| 1538780887 | Alexandra Helena Sheriff | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-28 |
| 1801417217 | Fatima Asfia Qadri | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-27 |
| 1376163386 | Jaskarn Virk | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2020-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467287 | Justin Alvarez Holmes | Student in an Organized Health Care Education/Training Program | 200 Madison Ave Ste 2e, Elmira, NY 14901-3219 | 2020-05-01 |
| 1669934204 | Lauren Michelle Yee | Student in an Organized Health Care Education/Training Program | 555 St Joseph's Blvd, 1st Floor, Elmira, NY 14901-3223 | 2019-04-02 |
| 1497252977 | Jennifer Ruch | Student in an Organized Health Care Education/Training Program | 329 Noble St, Elmira, NY 14901-1326 | 2018-04-10 |
| 1558896886 | Daniel Louie | Student in an Organized Health Care Education/Training Program | 571 Saint Josephs Blvd Ste 3, Elmira, NY 14901-3230 | 2017-04-24 |
| 1023541877 | Bonnie Theresa Acosta | Student in an Organized Health Care Education/Training Program | 806 Bennett St, Elmira, NY 14904-2014 | 2017-04-09 |
| 1871026229 | Jennifer Huber | Student in an Organized Health Care Education/Training Program | 600 Ivy St Ste 206, Elmira, NY 14905-1627 | 2017-04-04 |
| 1871025551 | Wesley Livingston | Student in an Organized Health Care Education/Training Program | 711 W Water St, Elmira, NY 14905-2442 | 2017-03-31 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1700232709 | Michael Kochik | Student in an Organized Health Care Education/Training Program | 407 Laurentian Pl Apt C, Elmira, NY 14904-2819 | 2016-05-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.