NPIMap

Individual provider Active NPI

Joe Blinn Fox, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1669703708
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0133483A Issued in IN
Practice address
220 Virginia Ave
In 0205-A547
Indianapolis, IN 46204-3709
Phone
(317) 287-8088
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0133483A IN Primary

Addresses

Primary practice location

220 Virginia Ave
In 0205-A547
Indianapolis, IN 46204-3709

Mailing address

220 Virginia Ave
In 0205-A547
Indianapolis, IN 46204-3709
Phone (317) 287-8088

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0133483AINMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1669703708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 VIRGINIA AVE",
            "address_2": "IN 0205-A547",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043709",
            "telephone_number": "317-287-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 VIRGINIA AVE",
            "address_2": "IN 0205-A547",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043709",
            "telephone_number": "317-287-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOE",
        "middle_name": "BLINN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "0133483A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.