Organization Active NPI

Gwen a. Fields, M.D., P.a.

  • Physical Medicine & Rehabilitation Physician
  • Rockwall, TX
National Provider Identifier
1811067960
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GWEN A. FIELDS, M.D., P.A.
Practice address
2931 Ridge Rd
Suite 115
Rockwall, TX 75032-6670
Phone
(972) 772-5400
Fax
(972) 722-7303
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Gwen A. Fields, M.D.
Title
President
Phone
(972) 772-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2931 Ridge Rd
Suite 115
Rockwall, TX 75032-6670

Mailing address

PO Box 678413
Dallas, TX 75267-8413
Phone (972) 772-5400

National Provider Directory

National Provider Directory

Locations

2931 Ridge Rd
Ste 115
Rockwall, TX 75032
Phone (972) 771-4343

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1811067960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678413",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678413",
            "telephone_number": "972-772-5400",
            "fax_number": "972-722-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 RIDGE RD",
            "address_2": "SUITE 115",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326670",
            "telephone_number": "972-772-5400",
            "fax_number": "972-722-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN A. FIELDS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-772-5400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.