Active NPI
Stephen P Fox, MD
- Plastic Surgery Physician
- Wausau, WI
National Provider Identifier
1659371730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 37354
- Practice address
- 2600 Rib Mountain Dr Ste 200
Suite 200
Wausau, WI 54401-7196 - Phone
- (715) 870-2162
- Fax
- (715) 870-2163
- NPI assigned
- Jul 29, 2005
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 37354 | WI | Primary |
Addresses
Primary practice location
2600 Rib Mountain Dr Ste 200
Suite 200
Wausau, WI 54401-7196
Mailing address
2600 Rib Mountain Dr
Suite 200
Wausau, WI 54401-7196
Phone (715) 870-2162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32183400 | 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 |
|---|---|---|---|
| 37354 | WI | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1659371730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 RIB MOUNTAIN DR",
"address_2": "SUITE 200",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544017196",
"telephone_number": "715-870-2162",
"fax_number": "715-870-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 RIB MOUNTAIN DR STE 200",
"address_2": "SUITE 200",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544017196",
"telephone_number": "715-870-2162",
"fax_number": "715-870-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "STEPHEN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WI",
"license": "37354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32183400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.