Provider Demographics
NPI:1407987985
Name:STANLEY LOWELL FOX MD INC
Entity Type:Organization
Organization Name:STANLEY LOWELL FOX MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-486-2233
Mailing Address - Street 1:464 RICHMOND RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2792
Mailing Address - Country:US
Mailing Address - Phone:216-486-2233
Mailing Address - Fax:216-486-3175
Practice Address - Street 1:464 RICHMOND RD
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-2792
Practice Address - Country:US
Practice Address - Phone:216-486-2233
Practice Address - Fax:216-486-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-02-7438F174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA71525Medicare UPIN