Active NPI
William Raymond Fielding, P.A.
- Physician Assistant
- Clifton Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 006612
- Practice address
- 1 Tallow Wood Dr
Clifton Park, NY 12065-2807 - Phone
- (518) 373-4500
- NPI assigned
- Jul 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006612 | NY | Primary |
| Physician Assistant | 363A00000X | PA9114434 | FL |
Addresses
Primary practice location
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
3890 Tampa Rd Ste 102
Palm Harbor, FL 34684-3677
Phone (727) 781-3150
Other practice location 2
1111 Hudson Ave
Stillwater, NY 12170-3439
Phone (518) 664-3242
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | William.Fiedling@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070531000089 | NY | Practitioner - Physician Assistant | 4486752300 | Reassigns benefits to 2 organizations |
| I20220105001812 | FL | Practitioner - Physician Assistant | 4486752300 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Albany Medical College of Union University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Samaritan Hospital of Troy, New York
Practice addresses (Care Compare)
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 688-0295
2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3554
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Community Hospice, Inc, the
- Samaritan Hospital of Troy, New York
- St Peter'S Hospital
- Ellis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006612 | NY | MD | Multi-Specialty Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Physician Assistant | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Current | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2995 Drew St
Fl 3
Clearwater, FL 33759
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
3890 Tampa Rd
Ste 102
Palm Harbor, FL 34684
Phone (727) 781-3150
1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444
1111 Hudson Ave
Stillwater, NY 12170
Phone (518) 664-3242
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- william.fiedling@direct.mybaycare.org
- wfielding2366740@direct.trinity-health.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
NY, Physician Assistant
-
- Family Medicine Physician
- Glens Falls, NY
- NPI 1851326326
NY
-
- Psychiatric Hospital Unit
- Troy, NY
- NPI 1861437832
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1154345015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TALLOW WOOD DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120652807",
"telephone_number": "518-373-4500"
}
],
"practiceLocations": [
{
"address_1": "3890 Tampa Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346843677",
"country_code": "US",
"telephone_number": "727-781-3150",
"fax_number": "813-635-2636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Hudson Ave",
"address_purpose": "LOCATION",
"city": "Stillwater",
"state": "NY",
"postal_code": "121703439",
"country_code": "US",
"telephone_number": "518-664-3242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIELDING",
"first_name": "WILLIAM",
"middle_name": "RAYMOND",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "006612",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114434",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "William.Fiedling@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP - Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1 Tallow Wood Dr",
"city": "Clifton Park",
"state": "NY",
"country_code": "US",
"postal_code": "120652807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.