Marirose Fox, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

414 Issued in NE

Practice address

1840 F St
Geneva, NE 68361-2211

Phone

(402) 759-4485

Fax

(402) 759-4487

NPI assigned

Jul 26, 2006

Last updated

Mar 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Fillmore County Hospital

  • Orthopaedic Surgery Physician
  • Geneva, NE
  • NPI 1508956467

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1124042114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683610268",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612211",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MARIROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207Q00000X",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fillmore County Hospital
• Fillmore County Hospital
• Fillmore County Hospital
• Fillmore County Medical Center P.C.
• Fillmore County School District 30-0025 (Fillmore Central Public School)
• Natasha R Frei, PA
• Jolene Renee Frook
• Sue Ann Gelster, MA, LIMHP, LPC
• Geneva Family Dentistry
• Jeri R George, LIMHP, CMSW

• Physician Assistant in Geneva, NE
• Providers in Geneva, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.