Active NPI
Elwood J Fox, DO
- Physical Medicine & Rehabilitation Physician
- Westbrook, ME
National Provider Identifier
1770530404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1709
- Practice address
- 2 Chabot St
Westbrook, ME 04092-4817 - Phone
- (207) 857-9311
- Fax
- (207) 857-9473
- NPI assigned
- May 28, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1709 | ME | |
| Internal Medicine Physician | 207R00000X | 152398 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 152398 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 3552 | TN | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 1709 | ME | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 1709 | ME | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1709 | ME | Primary |
Addresses
Primary practice location
2 Chabot St
Westbrook, ME 04092-4817
Mailing address
59 Sleepy Hollow Dr
Gorham, ME 04038-2563
Phone (207) 857-9311
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152398 | MA | MD | Internal Medicine Physician |
| 3552 | TN | MD | Physical Medicine & Rehabilitation Physician |
| 1709 | ME | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennebunk Operations, LLC | Past | Accepting new patients | |
| Southern Maine in Home Therapy Services,LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Kennebunk, ME
- NPI 1508928995
-
- Multi-Specialty Clinic/Center
- Gorham, ME
- NPI 1871936609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1770530404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SLEEPY HOLLOW DR",
"city": "GORHAM",
"state": "ME",
"postal_code": "040382563",
"telephone_number": "207-857-9311",
"fax_number": "207-857-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CHABOT ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924817",
"telephone_number": "207-857-9311",
"fax_number": "207-857-9473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ELWOOD",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "1709",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "152398",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MA",
"license": "152398",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "3552",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "ME",
"license": "1709",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "ME",
"license": "1709",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "ME",
"license": "1709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.