Individual provider Active NPI

Ian Howard Fox, DO

  • Pediatrics Physician
  • Big Rapids, MI
National Provider Identifier
1295743920
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5101011446 Issued in MI
Practice address
605 Oak St
Big Rapids, MI 49307-2048
Phone
(231) 592-4433
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101011446 MI Primary

Addresses

Primary practice location

605 Oak St
Big Rapids, MI 49307-2048

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ifox256774@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000651 MI Practitioner - Pediatric Medicine 8921021999 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101011446MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association CurrentSince Jan 2, 2023 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince May 4, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 2, 2023 Accepting new patients
Pennock Hospital CurrentSince Jan 2, 2023 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Newaygo County General Hospital Association CurrentSince Jan 2, 2023 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jan 2, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince May 4, 2023 Accepting new patients
Spectrum Health United CurrentSince Jan 2, 2023 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince May 4, 2023 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Spectrum Health United CurrentSince Jan 2, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jan 2, 2023 Accepting new patients
Mecosta County Medical Center Pediatrics CurrentSince Jan 2, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince May 4, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince May 4, 2023 Accepting new patients
Mecosta County Medical Center CurrentSince Jan 2, 2023 Accepting new patients
Pennock Hospital CurrentSince Jan 2, 2023 Accepting new patients
Memorial Medical Center of West Michigan Pediatrics CurrentSince Jan 2, 2023 Accepting new patients
Lakeland Community Hospital Watervliet CurrentSince May 4, 2023 Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Botsford General Hospital Pediatrics Past Accepting new patients
Maureen a Kelly MD PLLC Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Interoperability endpoints

  • Direct secure messaging: ifox256774@epic00.shdirect.org

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1295743920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OAK ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072048",
            "telephone_number": "231-592-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "IAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101011446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifox256774@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "605 Oak St",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493072048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "605 Oak St",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493072048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.