Jerald Joseph Littlefield, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

NM92284 Issued in NM

Practice address

2100 Calle de la Vuelta
E-104
Santa Fe, NM 87505-4819

Phone

(505) 982-8831

Fax

(505) 983-2763

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1902863640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CALLE DE LA VUELTA",
            "address_2": "E-104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054819",
            "telephone_number": "505-982-8831",
            "fax_number": "505-983-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CALLE DE LA VUELTA",
            "address_2": "E-104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054819",
            "telephone_number": "505-982-8831",
            "fax_number": "505-983-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEFIELD",
        "first_name": "JERALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "NM92284",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101026463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E5705",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Listening Sage Associates, Inc.
• Brooke Erin Litteral
• Little Field Counseling LLC
• Charles Erwin Little III, CSW
• Mary Anne Little, LCSW
• William J Litzenberg, MD
• Liveability LLC
• Cynthia Livingston, MA LMHC
• Coby L Livingstone, OTR/L
• Edward Ray Lobaugh, CNP, CNS, APRN BC

• Ophthalmology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.