Active NPI
Jillian E Fox, PA
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1912964248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA057539
- Practice address
- 34TH Street and Civic Center Boulevard
Philadelphia, PA 19104 - Phone
- (215) 590-1000
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA057539 | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Boulevard
Philadelphia, PA 19104
Mailing address
34TH Street and Civic Center Boulevard
Philadelphia, PA 19104
Phone (215) 590-1000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11563506 | Other | NY | CAQH |
| 000570413003 | Other | NY | BCBS OF WNY |
| 177880BF | Other | NY | PREFERRED CARE |
| 9511753 | Other | NY | IHA |
| P00236020 | Other | NY | MEDICARE RAILROAD |
Other names 1
- Jillian E Muhr
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA057539 | PA | MD | Physician Assistant |
Interoperability endpoints
- jfox388430@direct-ucsfmedicalcenter.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1912964248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "JILLIAN",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA057539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11563506",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WNY",
"identifier": "000570413003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "177880BF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9511753",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00236020",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILLIAN",
"last_name": "MUHR",
"middle_name": "E",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.