Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 01029699A | IN |
Y | 2084N0400X | Neurologist | 13228 | KY |
NPI | 1023169414 |
---|---|
Provider Name | Dr. Gary Fox |
First Address | Louisville, KY 40285-6300 |
Second Address | Louisville, KY 40207-4647 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000600753 | ANTHEM- NORTON NEUROLOGY SERVICES (01) | KY |
000001137396 | ANTHEM PROVIDER NUMBER (01) | IN |
00533093 | MEDICARE- NORTON NEUROLOGY SERVICES (01) | KY |
100070180 | (05) | IN |
100070180 | ANTHEM INDIANA MEDICAID- NORTON NEUROLOGY SERVICES (01) | KY |
101753 | SIHO- NORTON NEUROLOGY SERVICES (01) | KY |
2519104 | AETNA- NORTON NEUROLOGY SERVICES (01) | KY |
3690758000 | PASSPORT ADVANTAGE- NORTON NEUROLOGY SERVICES (01) | KY |
50022199 | PASSPORT- NORTON NEUROLOGY SERVICES (01) | KY |
64132285 | (05) | KY |
C 73947 | (02) | KY |
PENDING | ANTHEM PROVIDER NUMBER (01) | IN |