Active NPI
Paul A. Fox
- Surgical Assistant
- Monument, CO
National Provider Identifier
1699814319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA. 0001060
- Practice address
- 17577 Leisure Lake Dr
Monument, CO 80132-7954 - Phone
- (720) 635-0361
- Fax
- (719) 487-3253
- NPI assigned
- Feb 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA. 0001060 | CO | Primary |
Addresses
Primary practice location
17577 Leisure Lake Dr
Monument, CO 80132-7954
Mailing address
PO Box 3559
Monument, CO 80132-3559
Phone (720) 635-0361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA. 0001060 | CO | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Surgical Group | Surgical Assistant | 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 and National Provider Directory roles.
-
- Surgical Assistant
- Monument, CO
- NPI 1497319594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1699814319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3559",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801323559",
"telephone_number": "720-635-0361",
"fax_number": "719-487-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17577 LEISURE LAKE DR",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327954",
"telephone_number": "720-635-0361",
"fax_number": "719-487-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "PAUL",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "CO",
"license": "SA. 0001060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
- Miquela Gabrielle Flores, MA, BCBA
- Kathleen Reed Foote, M.D.
- Sandi L Forsythe, LMFT
- Cynthia Ann Fouse, LCSW
- Fox Surgical Group
- Fraser Professional Medical Group LLC (Flying Horse Medical Center)
- Front Range Advanced Wound Care Professional Corporation
- Tae S Fugate, AAS
- Zoe Grace Fuson
- Gala Medical & Health Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.