Individual provider Active NPI

William T. Fox Jr., PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1114034584
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01973 Issued in TX
Practice address
3003 Bee Caves Rd Ste 201
Austin, TX 78746-5550
Phone
(512) 314-3910
Fax
(512) 524-6008
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA01973 TX
Physician Assistant 363A00000X PA01973 TX Primary

Addresses

Primary practice location

3003 Bee Caves Rd Ste 201
Austin, TX 78746-5550

Mailing address

3003 Bee Caves Rd Ste 201
Austin, TX 78746-5550
Phone (512) 314-3910

Other practice location 1

401 W Slaughter Ln
Ste. 300
Austin, TX 78748-1715
Phone (512) 888-1201

Other identifiers 1

IdentifierTypeStateIssuer
210319402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000255 TX Practitioner - Physician Assistant 4587717483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01973TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1114034584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465550",
            "telephone_number": "512-314-3910",
            "fax_number": "512-524-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 BEE CAVES RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465550",
            "telephone_number": "512-314-3910",
            "fax_number": "512-524-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Slaughter Ln",
            "address_2": "Ste. 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787481715",
            "country_code": "US",
            "telephone_number": "512-888-1201",
            "fax_number": "512-888-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "WILLIAM",
        "middle_name": "T.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA01973",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210319402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.