1104903525 NPI number — TIMOTHY R FOX M.D.

Table of content: TIMOTHY R FOX M.D. (NPI 1104903525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104903525 NPI number — TIMOTHY R FOX M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOX
Provider First Name:
TIMOTHY
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1104903525
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 MILES ST.
Provider Second Line Business Mailing Address:
MILES MEDICAL GROUP - EMERGENCY DEPT.
Provider Business Mailing Address City Name:
DAMARISCOTTA
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04543
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-563-4521
Provider Business Mailing Address Fax Number:
207-563-3717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 MILES ST.
Provider Second Line Business Practice Location Address:
MILES MEDICAL GROUP
Provider Business Practice Location Address City Name:
DAMARISCOTTA
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-563-4521
Provider Business Practice Location Address Fax Number:
207-563-3717
Provider Enumeration Date:
11/01/2006

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: 207P00000X , with the licence number:  015735 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207PE0004X , with the licence number: 015735 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 930120493 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 432038199 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".