Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101226366 | VA |
NPI | 1164438099 |
---|---|
Provider Name | John A. Fox |
First Address | Shreveport, LA 71101-3910 |
Second Address | Shreveport, LA 71105-5134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 10/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006402500 | (05) | VA |
006402500 | VA. PREMIER (01) | VA |
09-00933 | UHC (01) | VA |
200001150 | MEDICARE (01) | VA |
2378741 | (05) | LA |
27603 | OPTIMA/SENTARA HEALTH (01) | VA |
279227 | ALLIANCE/MDIPA (01) | VA |
279227 | MAMSI/OPTIMUM CHOICE (01) | VA |
311610834 | BEECH STREET (01) | VA |
311610834 | TRICARE (01) | VA |
311610834 | VHN (01) | VA |
381727 | ANTHEM BCBS (01) | VA |
5485178 | AETNA (01) | VA |
615723 | NC PPO (01) | VA |
7263169015 | CIGNA (01) | VA |
89063C9 | NORTH CAROLINA MEDICAID (01) | VA |
MD.206342 | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS - MEDICINE AND SURGERY (01) | LA |