Provider Demographics
NPI:1871506147
Name:FOX, CHARITY C (MD)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:C
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:700 ACKERMAN RD
Mailing Address - Street 2:SUITE 570
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-685-6540
Mailing Address - Fax:614-685-6541
Practice Address - Street 1:915 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 400
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3153
Practice Address - Country:US
Practice Address - Phone:614-366-3687
Practice Address - Fax:614-293-6176
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2017-02-23
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Provider Licenses
StateLicense IDTaxonomies
OH35061907207RP1001X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0837312Medicaid
OH0837312Medicaid
OHFO0697503Medicare PIN