Active NPI
Irwin S. Fox, MD
- Anatomic Pathology & Clinical Pathology Physician
- Bullhead City, AZ
National Provider Identifier
1346295433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 16906
- Practice address
- 2735 Silver Creek Rd
Bullhead City, AZ 86442 - Phone
- (928) 763-2273
- Fax
- (702) 938-9954
- NPI assigned
- May 24, 2006
- Last updated
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35.034858 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 16906 | AZ | Primary |
Addresses
Primary practice location
2735 Silver Creek Rd
Bullhead City, AZ 86442
Mailing address
11015 E Tarragon Ave
Mesa, AZ 85212-8236
Phone (480) 272-0831
Other practice location 1
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (928) 763-2273
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 |
|---|---|---|---|
| 16906 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35.034858 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verde Valley Medical Center | 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.
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1346295433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11015 E TARRAGON AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852128236",
"telephone_number": "480-272-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 SILVER CREEK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86442",
"telephone_number": "928-763-2273",
"fax_number": "702-938-9954"
}
],
"practiceLocations": [
{
"address_1": "2735 Silver Creek Rd",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "86442",
"country_code": "US",
"telephone_number": "928-763-2273",
"fax_number": "702-938-9954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "IRWIN",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35.034858",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "16906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.