Active NPI
John A. Fox, M.D.
- Pediatric Orthopaedic Surgery Physician
- Shreveport, LA
National Provider Identifier
1164438099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 0101226366
- Practice address
- 7925 Youree Dr Ste 200
Shreveport, LA 71105-5134 - Phone
- (318) 212-3610
- Fax
- (318) 212-3709
- NPI assigned
- Jul 31, 2006
- Last updated
- Dec 10, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 0101226366 | VA | Primary |
Addresses
Primary practice location
7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Mailing address
1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8951
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200001150 | Other | VA | MEDICARE |
| 311610834 | Other | VA | VHN |
| 006402500 | Other | VA | VA. PREMIER |
| 09-00933 | Other | VA | UHC |
| MD.206342 | Other | LA | LOUISIANA STATE BOARD OF MEDICAL EXAMINERS - MEDICINE AND SURGERY |
| 006402500 | Medicaid | VA | |
| 279227 | Other | VA | ALLIANCE/MDIPA |
| 2378741 | Medicaid | LA | |
| 7263169015 | Other | VA | CIGNA |
| 311610834 | Other | VA | TRICARE |
| 5485178 | Other | VA | AETNA |
| 615723 | Other | VA | NC PPO |
| 381727 | Other | VA | ANTHEM BCBS |
| 89063C9 | Other | VA | NORTH CAROLINA MEDICAID |
| 27603 | Other | VA | OPTIMA/SENTARA HEALTH |
| 279227 | Other | VA | MAMSI/OPTIMUM CHOICE |
| 311610834 | Other | VA | BEECH STREET |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Surgical Specialty Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Surgery Physician
- Norfolk, VA
- NPI 1245248947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1164438099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 LOUISIANA AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013910",
"telephone_number": "318-212-8951",
"fax_number": "318-212-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 YOUREE DR STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055134",
"telephone_number": "318-212-3610",
"fax_number": "318-212-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "JOHN",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "VA",
"license": "0101226366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "200001150",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VHN",
"identifier": "311610834",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA. PREMIER",
"identifier": "006402500",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "09-00933",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA STATE BOARD OF MEDICAL EXAMINERS - MEDICINE AND SURGERY",
"identifier": "MD.206342",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006402500",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE/MDIPA",
"identifier": "279227",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2378741",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7263169015",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "311610834",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5485178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PPO",
"identifier": "615723",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "381727",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA MEDICAID",
"identifier": "89063C9",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA HEALTH",
"identifier": "27603",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/OPTIMUM CHOICE",
"identifier": "279227",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "311610834",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.