Individual provider Active NPI

Kathleen Devine Fox, PA

  • Medical Physician Assistant
  • Springfield, PA
National Provider Identifier
1902907678
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002615L Issued in PA
Practice address
965 Baltimore Pike
Suite 2B
Springfield, PA 19064-3976
Phone
(484) 573-5116
Fax
(484) 573-5122
NPI assigned
Sep 26, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002615L PA Primary
Medical Physician Assistant 363AM0700X RN187628L PA

Addresses

Primary practice location

965 Baltimore Pike
Suite 2B
Springfield, PA 19064-3976

Mailing address

965 Baltimore Pike
Suite 2B
Springfield, PA 19064-3976
Phone (484) 573-5116

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA002615LPAMDMedical Physician Assistant
RN187628LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of Southeaster Pennsylvania PC Past Accepting new patients
Eastwick Primary Care Past Accepting new patients
Eastwick Pharmacy Care Past Accepting new patients

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1902907678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BALTIMORE PIKE",
            "address_2": "SUITE 2B",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643976",
            "telephone_number": "484-573-5116",
            "fax_number": "484-573-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 BALTIMORE PIKE",
            "address_2": "SUITE 2B",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643976",
            "telephone_number": "484-573-5116",
            "fax_number": "484-573-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE FOX",
        "first_name": "KATHLEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002615L",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "RN187628L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.