DR. BENJAMIN ELLIOT FOX (NPI# 1649697574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649697574 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN ELLIOT FOX |
| Credential | MD |
| Practice Address |
96mdg 307 Boatner Road Eglin Afb FL 32542 |
| Practice Telephone | 8508838227 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME137241 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 501 Hanover St, Charlottesville, VA 229033805 | 7576309546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316200652 | Benjamin Daniel Fox | Family Medicine | 22895 Brambleton Plz Ste 200, Brambleton, VA 20148-4878 | 2012-06-21 |
| 1184955734 | Benjamin Davis Fox | Neurological Surgery | 400 Pinellas St Ste 325, Clearwater, FL 33756-3320 | 2010-01-21 |
| 1346463197 | Benjamin Walden Fox | Counselor | 2095 South Pomfret Rd, South Pomfret, VT 05067 | 2007-04-10 |
| 1144882317 | Benjamin Thomas Fox | Internal Medicine | 101 S Fairview Rd, Columbia, MO 65203-7637 | 2019-07-08 |
| 1841717782 | Benjamin Fox | Physical Therapist | 1132 Academy Ave Ste 101, Sanger, CA 93657-3195 | 2017-08-22 |
| 1700110426 | Benjamin Fox | Adult Companion | 521 Sw 11th Ave, Portland, OR 97205-2634 | 2009-09-28 |
| Street Address |
96MDG 307 BOATNER ROAD |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083804421 | Charles Dale Williams II | Anesthesiology | 96mdg, 307 Boatner Road, Ste 113, Eglin Afb, FL 32542 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| Find all providers in zip 32542 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306815659 | David Scott Grounds | Emergency Medicine | 96th Mdss/sgso, 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542 | 2006-03-17 |
| 1871571885 | John Douglas Adams | Emergency Medicine | 96 Mdss, 307 Boatner Rd, Eglin Afb, FL 32542 | 2006-01-09 |
| 1396193710 | Jayce Porter | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-05-26 |
| 1558715854 | Nicholas J Myers | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-04-22 |
| 1750745006 | Mikel Elias Borup | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-04-12 |
| 1871957753 | Suleiman Ismael | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-04-07 |
| 1073977955 | Samantha Boyd | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2016-04-07 |
| 1194068247 | Eric E Schott | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2013-03-27 |
| 1689933327 | Joshua N Cragun | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2012-05-15 |
| 1407112287 | Steven J. Colonna | Emergency Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2012-04-06 |
| Find all providers in EGLIN AFB | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.