Individual provider Active NPI

Jo Ann Fields, MD

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1386612844
Registry record updated Nov 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10004729 Issued in DE
Practice address
2604 Old Ocean City Rd
Salisbury, MD 21804-4629
Phone
(302) 242-8918
Fax
(410) 543-8213
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10004729 DE Primary

Addresses

Primary practice location

2604 Old Ocean City Rd
Salisbury, MD 21804-4629

Mailing address

1512 Sharen Dr Ste E
Salisbury, MD 21804-7956
Phone (302) 242-8918

Other identifiers 1

IdentifierTypeStateIssuer
0000729701MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100708000916 DE Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3678568979 Reassigns benefits to 2 organizations
I20171213001515 MD Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3678568979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

801 Middleford Rd
Seaford, DE 19973-3636

9111 Antique Aly
Unit 1
Bridgeville, DE 19933-4682
Phone (302) 337-9320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10004729DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Hospice, Inc CurrentSince Dec 1, 2015 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Feb 1, 2023 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince May 1, 2019 Accepting new patients

Locations

9111 Antique Aly
Bridgeville, DE 19933
Phone (302) 337-8789

9111 Antique Aly
Unit 1
Bridgeville, DE 19933
Phone (302) 297-2581

630 Churchmans Rd
Ste 200
Newark, DE 19702
Phone (302) 478-5707

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509840000000",
    "number": "1386612844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SHAREN DR STE E",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047956",
            "telephone_number": "302-242-8918",
            "fax_number": "410-543-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 OLD OCEAN CITY RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044629",
            "telephone_number": "302-242-8918",
            "fax_number": "410-543-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "JO ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2017-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10004729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000729701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.