Provider Demographics
NPI:1508107533
Name:JAMES E FOX MD PLLC
Entity Type:Organization
Organization Name:JAMES E FOX MD PLLC
Other - Org Name:ACTIVE PAIN TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-246-0143
Mailing Address - Street 1:234 MORRELL RD # 304
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5876
Mailing Address - Country:US
Mailing Address - Phone:865-246-0143
Mailing Address - Fax:865-246-0146
Practice Address - Street 1:300 PROSPERITY RD STE 103
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4717
Practice Address - Country:US
Practice Address - Phone:865-246-0143
Practice Address - Fax:865-246-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN030702261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3831110Medicare PIN