Organization
MARTIN S FOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH S FOX (ADMINISTRATOR)
(502) 895-5850
Entity
Organization
Contact information
Practice address
4001 KRESGE WAY, SUITE 320, LOUISVILLE, KY 40207-4640
(502) 895-5850
(502) 895-1210
Mailing address
4001 KRESGE WAY, SUITE 320, LOUISVILLE, KY 40207-4640
(502) 895-5850
(502) 895-1210
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059331
BLUE CROSS
KY
01
—
0810095
AETNA
KY
01
—
1051837
PASSPORT
KY
05
—
65937302
—
KY
01
—
CI6878
RAILROAD MEDICARE
KY
Enumeration date
01/23/2007
Last updated
12/13/2024
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