Provider Demographics
NPI:1790740991
Name:AUFOX, WILLIAM E (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:AUFOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-272-5395
Mailing Address - Fax:502-272-5339
Practice Address - Street 1:2355 POPLAR LEVEL RD
Practice Address - Street 2:STE 200-A
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1395
Practice Address - Country:US
Practice Address - Phone:502-636-7444
Practice Address - Fax:502-636-7340
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY22150207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000014952WOtherHUMANA / NCMA
KY50006108OtherPASSPORT / NCMA
KY046854OtherSIHO / NCMA
KY2447390000OtherPASSPORT ADVANTAGE / NCMA
KY64221500Medicaid
KY0252847OtherCIGNA / NCMA
IN200505800Medicaid
KY00000352530OtherANTHEM / NCMA
KYP00181540OtherRAILROAD MEDICARE
KY046854OtherSIHO / NCMA
C69372Medicare UPIN