Provider Demographics
NPI:1225070717
Name:FOX, GREGORY M (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:M
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8600 QUIVIRA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2857
Mailing Address - Country:US
Mailing Address - Phone:913-831-7400
Mailing Address - Fax:913-831-7409
Practice Address - Street 1:8600 QUIVIRA RD STE 100
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2857
Practice Address - Country:US
Practice Address - Phone:913-831-7400
Practice Address - Fax:913-831-7409
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301051175207W00000X, 207WX0107X
MO116603207W00000X
MO0427847207WX0107X
KS116603207WX0107X
KS04-27847207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO180045254OtherRAILROAD MEDICARE
MO25164030OtherBLUE CROSS BLUE SHIELD OF
MO2003811179Medicaid
KS102473OtherBLUE CROSS BLUE SHIELD OF
KS180046103OtherRAILROAD MEDICARE
F32299Medicare UPIN
MOMA3835005Medicare PIN
KS180046103OtherRAILROAD MEDICARE
KS102473Medicare PIN