Provider Demographics
NPI:1134262348
Name:KNOX, ANTHONY PRICE (MD)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:PRICE
Last Name:KNOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:PRICE
Other - Last Name:KNOX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:233 YORK ST
Mailing Address - Street 2:STE A
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1047
Mailing Address - Country:US
Mailing Address - Phone:207-351-3987
Mailing Address - Fax:207-351-3478
Practice Address - Street 1:233 YORK ST
Practice Address - Street 2:SUITE A
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1047
Practice Address - Country:US
Practice Address - Phone:207-351-3987
Practice Address - Fax:207-351-3478
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2010-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050178072084N0400X
ME0178042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME433749499Medicaid
MO2005017807OtherSTATE LICENSE
MO2005017807OtherSTATE LICENSE
ME000546401Medicare PIN