NPIMap

Organization Active NPI

Fox Pediatrics,PLC

  • Pediatrics Physician
  • Mt Pleasant, MI
National Provider Identifier
1730564105
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301087542 Issued in MI
Legal business name
FOX PEDIATRICS,PLC
Practice address
1205 S Mission St
Suite 4
Mount Pleasant, MI 48858-3939
Phone
(989) 400-4369
Fax
(989) 400-4769
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Constanza I Fox, MDNPI 1831157734
Title
Owner
Phone
(989) 400-4369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301087542 MI Primary

Addresses

Primary practice location

1205 S Mission St
Suite 4
Mount Pleasant, MI 48858-3939

Mailing address

1205 S Mission St
Suite 4
Mount Pleasant, MI 48858-3939
Phone (989) 400-4369

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2099440Fox Pediatrics, PLC1205 S Mission Street Suite 4, Mount Pleasant, MI 48858Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1730564105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S MISSION ST",
            "address_2": "SUITE 4",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583939",
            "telephone_number": "989-400-4369",
            "fax_number": "989-400-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S MISSION ST",
            "address_2": "SUITE 4",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488583939",
            "telephone_number": "989-400-4369",
            "fax_number": "989-400-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX PEDIATRICS,PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "CONSTANZA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-400-4369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301087542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.