1386691178 NPI number — JAMES B KNOX MD

Table of content: JAMES B KNOX MD (NPI 1386691178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386691178 NPI number — JAMES B KNOX MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNOX
Provider First Name:
JAMES
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386691178
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90 TER HEUN DRIVE
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
FALMOUTH
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02540
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-540-0604
Provider Business Mailing Address Fax Number:
508-457-0129

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
90 TER HEUN DRIVE
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
FALMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-540-0604
Provider Business Practice Location Address Fax Number:
508-457-0129
Provider Enumeration Date:
05/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2086S0129X , with the licence number:  70748 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2275979 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 770002390 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000029986 . This is a "BOSTON MEDICAL CENTER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1386691178 . This is a "UNICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 11084407 . This is a "CAQH #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1386691178 . This is a "GREAT WEST HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3700007 . This is a "UNITED HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 770002390 . This is a "MEDICARE ID" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: B20948501 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: KNA29564 . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 70748 . This is a "MA LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1386691178 . This is a "NETWORK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: MK0379796A . This is a "MA CDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000262 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3055841 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 730507 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: E42314 . This is a "HPH" identifier . This identifiers is of the category "OTHER".
  • Identifier: J09055 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com