Provider Demographics
NPI:1477685535
Name:FIELDER, JON F (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:F
Last Name:FIELDER
Suffix:
Gender:M
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:PO BOX 2320-00621
Mailing Address - Street 2:
Mailing Address - City:NAIROBI
Mailing Address - State:NAIROBI
Mailing Address - Zip Code:00621
Mailing Address - Country:KE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MAUA HOSPITAL
Practice Address - Street 2:BOX 63
Practice Address - City:MAUA
Practice Address - State:MERU
Practice Address - Zip Code:60600
Practice Address - Country:KE
Practice Address - Phone:25471-986-8501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7179207R00000X
MDD57873207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine