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MARK DOUGLAS FOX MD NPI 1447220843


NPI Information

NPI: 1447220843
Provider Name: MARK DOUGLAS FOX, MD
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

PECOS Registration: Yes

Address:
1234 N NOTRE DAME AVE
SOUTH BEND, IN
ZIP 46617
Phone: (574) 631-1337
Get Directions

Mark Douglas Fox, MD is a public health and general preventive medicine preventive medicine in South Bend, IN. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Mark Douglas Fox, MD NPI is 1447220843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1234 N NOTRE DAME AVE
SOUTH BEND, IN
ZIP 46617-404
Phone: (574) 631-1337
Fax: (574) 631-8932

The NPI 1447220843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 10/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine23209OKLAHOMANo
2207R00000XInternal Medicine01075847AINDIANANo
3208000000XPediatrics23209OKLAHOMANo
4208000000XPediatrics01075847AINDIANANo
52083P0901XPreventive MedicinePublic Health & General Preventive Medicine01075847AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.