Individual provider Active NPI

Paul Raymond Fieldstone, M.D.

  • Urology Physician
  • Casa Grande, AZ
National Provider Identifier
1093715666
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD14584 Issued in AZ
Practice address
1828 E Florence Blvd
Ste 143
Casa Grande, AZ 85222-4783
Phone
(520) 836-2565
Fax
(520) 836-2961
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD14584 AZ Primary

Addresses

Primary practice location

1828 E Florence Blvd
Ste 143
Casa Grande, AZ 85222-4783

Mailing address

1828 E Florence Blvd
Ste 143
Casa Grande, AZ 85222-4783
Phone (520) 836-2565

Other identifiers 1

IdentifierTypeStateIssuer
268179MedicaidAZ

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

State licenses

LicenseStateTypeSpecialty
MD14584AZMDUrology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093715666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "STE 143",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224783",
            "telephone_number": "520-836-2565",
            "fax_number": "520-836-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 E FLORENCE BLVD",
            "address_2": "STE 143",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224783",
            "telephone_number": "520-836-2565",
            "fax_number": "520-836-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDSTONE",
        "first_name": "PAUL",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "MD14584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268179",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.