James W Fox, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Lewistown, MT

NPI 1891898524 · NPPES record last updated Oct 1, 2008

Key facts

NPI
1891898524
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
MT30436 (MT)
Practice address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone
(406) 535-7711
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
MT30436MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Montana Medical Facilities, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X MT30436 MT Yes

Addresses

Primary practice location

408 Wendell Ave
Lewistown, MT 59457-2261

Mailing address

103 Hillcrest Dr
Lewistown, MT 59457-2326

Other identifiers

IdentifierTypeStateIssuer
0355771MedicaidMT
237169043594579004OtherMTTRICARE
000098650OtherMTBCBS

Other providers in Lewistown, MT

All providers in Lewistown, MT · Certified Registered Nurse Anesthetist in Montana

Sources for this page

Verify at the official NPI Registry.