Provider Demographics
NPI:1205193448
Name:FIELDS, ARIELLE (MD)
Entity Type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:2301 N 29TH ST STE 500
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3454
Practice Address - Country:US
Practice Address - Phone:215-444-7510
Practice Address - Fax:264-388-4659
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA393464000OtherKEYSTONE IBC
PA30220063OtherKEYSTONE FIRST
PA3164842OtherHIGHMARK BLUE SHIELD
PA6575873OtherCIGNA PA
PA1030126430001Medicaid
PAP01502394OtherRAILROAD MEDICARE
PA4689470OtherAETNA
PA4689470OtherAETNA