Scott Ira Fields, MD

Individual provider Active NPI Diagnostic Radiology Physician · Hornell, NY

NPI 1679527600 · NPPES record last updated May 8, 2008

Key facts

NPI
1679527600
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
227927-1 (NY)
Practice address
411 Canisteo St
Hornell, NY 14843-2104
Phone
(607) 324-8255
Fax
(607) 324-8774
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
227927-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 227927-1 NY Yes

Addresses

Primary practice location

411 Canisteo St
Hornell, NY 14843-2104

Mailing address

7 Erie Ave
Hornell, NY 14843-1909
Phone (607) 324-8255

Other identifiers

IdentifierTypeStateIssuer
11546388OtherNYCAQH

Other providers in Hornell, NY

All providers in Hornell, NY · Diagnostic Radiology Physician in New York

Sources for this page

Verify at the official NPI Registry.