John Leonard Fox, MD
Individual provider Active NPI Pediatrics Physician · Ada, MI
NPI 1033907803 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1033907803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301077318 (MI)
- Practice address
- 7886 Canyon Ridge CT SE
Ada, MI 49301-8315 - Phone
- (616) 460-0241
- NPI assigned
- Apr 30, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301077318 | MI | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301077318 | MI | Yes |
Addresses
Primary practice location
7886 Canyon Ridge CT SE
Ada, MI 49301-8315
Mailing address
7886 Canyon Ridge CT SE
Ada, MI 49301-8315
Phone (616) 460-0241
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.