Active NPI
Ellen F Foxman, M.D., PH.D.
- Clinical Pathology/Laboratory Medicine Physician
- West Hartford, CT
National Provider Identifier
1164630406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 050191
- Practice address
- 1047 N Main St
West Hartford, CT 06117-2055 - Phone
- (860) 236-2244
- NPI assigned
- May 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 050191 | CT | Primary |
Addresses
Primary practice location
1047 N Main St
West Hartford, CT 06117-2055
Mailing address
1047 N Main St
West Hartford, CT 06117-2055
Phone (860) 236-2244
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050191 | CT | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1164630406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172055",
"telephone_number": "860-236-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172055",
"telephone_number": "860-236-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOXMAN",
"first_name": "ELLEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CT",
"license": "050191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.