Active NPI
Robert S Fox, MD
- Family Medicine Physician
- Appleton, WI
National Provider Identifier
1144215773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25587-020
- Practice address
- 3916 N Intertech CT
Appleton, WI 54913 - Phone
- (920) 996-1000
- Fax
- (920) 997-1284
- NPI assigned
- Sep 20, 2005
- Last updated
- Jul 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25587-020 | WI | Primary |
Addresses
Primary practice location
3916 N Intertech CT
Appleton, WI 54913
Mailing address
2078 Prairie Creek Drive
Neenah, WI 54956
Phone (920) 722-6486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30531800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25587-020 | WI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1144215773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2078 PRAIRIE CREEK DRIVE",
"city": "NEENAH",
"state": "WI",
"postal_code": "54956",
"telephone_number": "920-722-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 N INTERTECH CT",
"city": "APPLETON",
"state": "WI",
"postal_code": "54913",
"telephone_number": "920-996-1000",
"fax_number": "920-997-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "25587-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30531800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.