Individual provider Active NPI

Roger W Fox, M.D.

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1750366423
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME0026916 Issued in FL
Practice address
13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946
Phone
(813) 971-9743
Fax
(813) 558-9421
NPI assigned
Dec 14, 2005
Last updated
Jan 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME0026916 FL Primary

Addresses

Primary practice location

13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946

Mailing address

13801 Bruce B Downs Blvd
Suite 502
Tampa, FL 33613-3946
Phone (813) 971-9743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000376 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0840184081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0026916FLMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute of Florida, PLLC CurrentSince Apr 11, 2021 Accepting new patients
Glaum & Cho M.D.S, P.a. Allergy & Immunology CurrentSince Oct 1, 2003 Accepting new patients
Advanced Podiatry PA PastSince Oct 1, 2003 Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 502
Tampa, FL 33613
Phone (813) 971-9743

6536 Gunn Hwy
Tampa, FL 33625
Phone (813) 803-0029

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1750366423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-9743",
            "fax_number": "813-558-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 502",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-9743",
            "fax_number": "813-558-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ROGER",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0026916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.