Active NPI
Larry S. Fields, MD
- Family Medicine Physician
- Ashland, KY
National Provider Identifier
1083612774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19519
- Practice address
- 1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087 - Phone
- (606) 836-3196
- Fax
- (606) 836-2564
- NPI assigned
- Jul 7, 2005
- Last updated
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19519 | KY | Primary |
Addresses
Primary practice location
1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Mailing address
1101 Saint Christopher Dr
Suite 250
Ashland, KY 41101-7087
Phone (606) 836-3196
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64195191 | Medicaid | KY | |
| 000000191982 | Other | BLUE CROSS BLUE SHIELD | |
| 080172358 | Other | RAILROAD MEDICARE | |
| 0536236 | Other | OH | OHIO MEDICAID |
| F10727432 | Other | OH | OHIO MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lfields72379@direct.kdhealth.us
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1083612774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAINT CHRISTOPHER DR",
"address_2": "SUITE 250",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017087",
"telephone_number": "606-836-3196",
"fax_number": "606-836-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAINT CHRISTOPHER DR",
"address_2": "SUITE 250",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017087",
"telephone_number": "606-836-3196",
"fax_number": "606-836-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "LARRY",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "19519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64195191",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000191982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080172358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID",
"identifier": "0536236",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICARE",
"identifier": "F10727432",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.