DR. MATTHEW CHARLES FOX (NPI# 1740471929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740471929 |
Entity Type | Individual |
Full Name | DR. MATTHEW CHARLES FOX |
Credential | MD |
Practice Address |
1601 Trinity St Stop 704 Austin TX 78712-1865 |
Practice Telephone | 5123247468 |
Enumeration Date | 2007-08-05 |
Last Update Date | 2019-11-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | P2988 | TX | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | 4301091546 | MI | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
P2988 | TX | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
P2988 | TX | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
4301091546 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 310279001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043448517 | Matthew Allyn Fox | Dentist | 3228 Lithia Pinecrest Rd, Suite 104, Valrico, FL 33596 | 2009-06-23 |
1942488812 | Matthew H Fox | Dentist | 10690 S Us Highway 1 Ste A, Port Saint Lucie, FL 34952-6411 | 2008-02-04 |
1538370838 | Matthew Fox | Radiology | 7672 Montgomery Rd # 237, Cincinnati, OH 45236-4204 | 2007-05-25 |
1316099377 | Matthew L Fox | Counselor | 3261 Commercial Way, Spring Hill, FL 34606-2694 | 2007-01-18 |
1306879218 | Matthew John Fox | Specialist | 9985 Dayton Lebanon Pike, Centerville, OH 45458 | 2006-07-07 |
1578047254 | Matthew Fox | Physical Therapist | 5438 Metro Pkwy, Sterling Heights, MI 48310-4103 | 2018-09-19 |
1629459706 | Matthew E. Fox | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011-3453 | 2015-06-15 |
1295132611 | Matthew Fox | Physical Therapist | 209 Wilderness View Dr, Marshfield, WI 54449-8357 | 2014-12-01 |
1003210634 | Matthew Fox | Counselor | 99 S Cameron St, Harrisburg, PA 17101-2809 | 2014-10-10 |
1740680339 | Matthew Fox | Counselor | 81 Plantation St, Worcester, MA 01604-3069 | 2014-09-02 |
Street Address |
1601 TRINITY ST STOP 704 |
City | AUSTIN |
State | TX |
Zip Code | 78712-1865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568584159 | Vincent Yat-chung Wang | Neurological Surgery | 1601 Trinity St Stop 704, Austin, TX 78712-1865 | 2007-04-04 |
1649693714 | Rachel Ann Meyer | Physician Assistant | 1601 Trinity St Stop 704, Austin, TX 78712-1865 | 2014-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681887 | Sarah Mae Clifford | Specialist/Technologist | 405 E 23rd Street, Austin, TX 78712 | 2020-08-27 |
1013533603 | Caleb Montgomery Burleson | Specialist/Technologist | College of Education 1912 Speedway, Stop D5000, Austin, TX 78712 | 2020-06-19 |
1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
1396382552 | H-e-b, Lp | Clinical Medical Laboratory | 1601 Trinity St Bldg A Ste 105, Austin, TX 78712 | 2019-12-06 |
1427693928 | The University of Texas At Austin | Psychologist | 100 W Dean Keeton St., Austin, TX 78712 | 2019-11-08 |
1013565803 | Chidinma Abengowe | Specialist/Technologist | 2015 San Jacinto Blvd, Austin, TX 78712 | 2019-08-27 |
1073010724 | Qaisar Alshebani | Internal Medicine | Ut Austin Dell Medical School, Dell Seton Medical Center 1500 Red River Rd, Austin, TX 78712 | 2018-04-10 |
1073066239 | The University of Texas At Austin | General Practice | 1601 Trinity Street, Austin, TX 78712 | 2016-07-25 |
1184081176 | Nahar Albudoor | Speech-Language Pathologist | 2504 A Whitis, Cma 2.200, A1100, University of Texas At Austin Speech & Hearing Center, Austin, TX 78712 | 2016-01-21 |
1922415181 | Kelly Marie Barker | Nurse Practitioner | 1601 Trinity St Ste 704f, Austin, TX 78712 | 2014-07-18 |
Find all providers in zip 78712 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780872762 | Susan E Dozier, Md, Pa | Dermatology | 8240 N Mopac Expy Ste 355, Austin, TX 78759-8894 | 2007-10-04 |
1023033883 | Susan Elizabeth Dozier | Dermatology | 8240 N Mo Pac Expwy, Suite 355, Austin, TX 78759-8894 | 2006-07-13 |
1760878045 | Nicholas R. Snavely, Md, Pllc | Dermatology | 10815 Rr 2222, Bldg 3a, Ste 200, Austin, TX 78730-1159 | 2015-04-13 |
1003829920 | John Joseph Ghidoni IIi | Dermatology | 8229 Shoal Creek Blvd, Suite#101, Austin, TX 78757-7568 | 2006-08-14 |
1619942182 | Southwest Skin & Cancer Clinic, P.a. | Dermatology | 4419 Frontier Trl, Suite 110, Austin, TX 78745-1686 | 2006-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649800848 | Skin Cancer Dermatology, Pllc | Dermatology | 3327 Research Plz Ste 414, San Antonio, TX 78235-5159 | 2020-01-16 |
1598302721 | Austin Skin Pllc | Dermatology | 1501 Dorothy Nichols Ln # B, Smithville, TX 78957-1725 | 2019-12-06 |
1154717726 | Joshua Lee Owen | Dermatology | 2632 Broadway, Suite 300 South, San Antonio, TX 78215-7821 | 2015-04-10 |
1043615263 | Epiphany Dermatology Pa | Dermatology | 7106 Sanger Avenue, Waco, TX 76712-3928 | 2014-10-30 |
1255745915 | Leon Chen | Dermatology | 6655 Travis St Ste 650, Houston, TX 77030-1316 | 2014-06-19 |
1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
1457695413 | Oliver Street 5.01(a) Inc. | Dermatology | 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 | 2012-11-15 |
1427330588 | Michael A. Sorace Md Pa | Dermatology | 7950 Floyd Curl Dr Ste 505, Medical Center Tower 1, San Antonio, TX 78229-3924 | 2011-09-15 |
1811229180 | Skin Surgery Center, Pa | Dermatology | 6208 Colleyville Blvd, Suite 100, Colleyville, TX 76034-6223 | 2010-02-11 |
1265614168 | Michael Sorace | Dermatology | 745 W San Antonio Ave, Suite 100, Boerne, TX 78006-3213 | 2007-12-03 |
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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.