Active NPI
Philip James Knox, M.D.
- Anesthesiology Physician
- Pocatello, ID
National Provider Identifier
1871541805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M-3651
- Practice address
- 333 N 18TH Ave
BLDG a
Pocatello, ID 83201-3358 - Phone
- (208) 232-7760
- Fax
- (208) 232-1950
- NPI assigned
- May 4, 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 | M-3651 | ID | Primary |
Addresses
Primary practice location
333 N 18TH Ave
BLDG a
Pocatello, ID 83201-3358
Mailing address
PO Box 4107
Pocatello, ID 83205-4107
Phone (208) 232-7760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003783100 | Medicaid | ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-3651 | ID | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1871541805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4107",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832054107",
"telephone_number": "208-232-7760",
"fax_number": "208-232-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N 18TH AVE",
"address_2": "BLDG A",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013358",
"telephone_number": "208-232-7760",
"fax_number": "208-232-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "PHILIP",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M-3651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003783100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.