Active NPI
Charles J Fox III, MD
- Anesthesiology Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 020585
- Practice address
- 1415 Tulane Ave
HC71
New Orleans, LA 70112-2600 - Phone
- (504) 988-5800
- Fax
- (504) 988-1743
- NPI assigned
- Dec 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 020585 | LA | Primary |
Addresses
Primary practice location
1415 Tulane Ave
HC71
New Orleans, LA 70112-2600
Mailing address
1415 Tulane Ave
HC71
New Orleans, LA 70112-2600
Phone (504) 988-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1536245 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in New Orleans, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Kings Hwy
Shreveport, LA 71103-4228
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
1602 Kings Hwy
Shreveport, LA 71103-4128
Phone (318) 675-8700
1606 Kings Hwy
Shreveport, LA 71103-4128
Phone (318) 675-6402
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020585 | LA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Anesthesiology | Current | Accepting new patients |
| Tuhc Anesthesiology Group LLC | Anesthesiology | Past | Accepting new patients |
| University Healthcare Systems, LC | Past | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| University Healthcare System, LC | Past | Accepting new patients |
Locations
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ochsner Lsu Health Shreveport | Hospital | Contracted Managing Employee Corporate Officer |
Oct 1, 2018 Oct 1, 2018 |
| Ochsner Lsu Health Shreveport - St. Mary Medical Center | Hospital | Contracted Managing Employee Corporate Officer |
Apr 25, 2020 Apr 25, 2020 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
Contracted Managing Employee, Corporate Officer
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
Contracted Managing Employee, Corporate Officer
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Anesthesiology
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1760435432
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1942256383
-
- Internal Medicine Physician
- Covington, LA
- NPI 1386734762
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1851451884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "HC71",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5800",
"fax_number": "504-988-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "HC71",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5800",
"fax_number": "504-988-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "CHARLES",
"middle_name": "J",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "020585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1536245",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.