Provider Demographics
NPI:1003071051
Name:FIELDS, ADELE ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:ALEXANDRA
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADELE
Other - Middle Name:
Other - Last Name:WOYTAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 678510
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8510
Mailing Address - Country:US
Mailing Address - Phone:800-475-3698
Mailing Address - Fax:719-591-2745
Practice Address - Street 1:1510 E HERNDON AVE STE 110
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3333
Practice Address - Country:US
Practice Address - Phone:559-450-6742
Practice Address - Fax:559-450-6743
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1670402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1003071051Medicaid
MD050457200Medicaid
MD233660YE60Medicare PIN