DR. STEPHANIE J FOX (NPI# 1770600884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770600884 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE J FOX |
| Credential | MD |
| Practice Address |
3100 Kennard St Maplewood MN 55109-5465 |
| Practice Telephone | 6513261044 |
| Mailing Telephone | 6513261044 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 52217 | MN | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | 104273 | MN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2008008163 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE RAIL ROAD | P0083991 | 01 |
| MN | ENROLLED | 05 | |
| IA | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973481 | Stephanie Fox | Home Health Aide | 2730 N Forest Hill Rd, Troy, OH 45373-8783 | 2020-02-06 |
| 1871084418 | Stephanie Fox | Psychologist | 5005 S Kipling Pkwy Ste A7, #164, Littleton, CO 80127-1375 | 2018-05-18 |
| 1174053854 | Stephanie Crystal Jenee Fox | Counselor | 1231 Ne 73rd Ave, Portland, OR 97213-6110 | 2017-06-15 |
| 1932478005 | Stephanie J Fox | Counselor | Psc 1 Box 1965, Apo, AE 09009-0020 | 2011-12-20 |
| 1417243056 | Stephanie L Fox | Counselor | 514 19th Ave E, #211, Seattle, WA 98112-4080 | 2011-06-22 |
| 1699927384 | Stephanie Louise Fox | Nurse Practitioner | 183 High Street, Wadsworth, OH 44281 | 2008-10-14 |
| 1710031125 | Stephanie M Fox | Nurse Practitioner | 3340 Providence Dr Ste 366, Anchorage, AK 99508-4627 | 2007-01-23 |
| 1902866981 | Stephanie Lynn Fox | Optometrist | 83 Church Rd, Arnold, MD 21012-2306 | 2006-03-24 |
| 1447712955 | Stephanie Fox | Psychologist | 101 Renee Lynne Ct, Carrboro, NC 27510 | 2019-04-03 |
| 1962915041 | Stephanie Fox | Social Worker | 7211 Nw 83rd St Ste 130, Kansas City, MO 64152-6036 | 2017-11-10 |
| Street Address |
3100 KENNARD ST |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756157 | William B Hicks | Allergy & Immunology | 3100 Kennard St, Maplewood, MN 55109-5439 | 2005-11-02 |
| 1316495401 | Thomas Grove Wilson | Nurse Practitioner | 3100 Kennard St, Suite 100, Maplewood, MN 55109-5465 | 2016-09-16 |
| 1982842290 | Healtheast Care System | Non-Pharmacy Dispensing Site | 3100 Kennard St, 100, Maplewood, MN 55109-4569 | 2009-01-23 |
| 1003014911 | John Paul Berger | Internal Medicine | 3100 Kennard St, Suite 250, Maplewood, MN 55109-5465 | 2007-07-03 |
| 1902986698 | Carol Lu | Internal Medicine | 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 | 2006-10-17 |
| 1568559888 | Christopher Neville Ussher | Internal Medicine | 3100 Kennard St, Maplewood, MN 55109-5465 | 2006-10-06 |
| 1396859468 | Jeanne Mackenzie Goodspeed | Pediatrics | 3100 Kennard St, Maplewood, MN 55109 | 2006-08-18 |
| 1467497610 | Kent Davis Bergh | Family Medicine | 3100 Kennard St, Suite 100 Healtheast Physician Service, Maplewood, MN 55109 | 2006-06-19 |
| 1437198694 | Thomas G Dashiell | Internal Medicine | 3100 Kennard St, Ste 100, Maplewood, MN 55109-5465 | 2006-06-05 |
| 1073569943 | Healtheast Medical Research Institute Dba Healtheast Physician Service | Durable Medical Equipment & Medical Supplies | 3100 Kennard St, Suite 100, Maplewood, MN 55109-4569 | 2006-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770900797 | Allergy and Asthma Center of Minnesota Pllc | Allergy & Immunology | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2014-03-27 |
| 1356533293 | Douglas F Mcmahon | Allergy & Immunology | 1655 Beam Ave, Suite 108, Maplewood, MN 55109-1163 | 2007-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346683687 | Joshua M Dorn | Allergy & Immunology | 3460 Promenade Ave, Eagan, MN 55123 | 2013-04-16 |
| 1346495397 | Harry Arvid Swedlund | Allergy & Immunology | 730 11th St Sw, Rochester, MN 55902-6339 | 2008-11-18 |
| 1417027822 | James D Lakin | Allergy & Immunology | 350 W Burnsville Pkwy, Suite 200, Burnsville, MN 55337-2585 | 2006-11-09 |
| 1417032160 | Amy Rillo Ellingson | Allergy & Immunology | 1037 19th Ave Sw, Willmar, MN 56201-5005 | 2006-10-25 |
| 1952401804 | St Paul Allergy & Asthma Clinic P.a. | Allergy & Immunology | 565 S Snellng Ave, Saint Paul, MN 55116-1525 | 2006-09-22 |
| 1073619680 | Family Allergy & Asthma Specialists Pa | Allergy & Immunology | 2906 Upper 55th St, Inver Grove Heights, MN 55076-1673 | 2006-09-15 |
| 1366558843 | Barry I Alper | Allergy & Immunology | North Clinic 3366 Oakdale Ave No, Suite 315, Robbinsdale, MN 55422-2948 | 2006-08-21 |
| 1487601316 | Jack Leon-max Mutnick | Allergy & Immunology | 1 W Lake St, Minneapolis, MN 55408-3154 | 2006-05-27 |
| 1578514212 | Jennifer Oldham | Allergy & Immunology | 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2006-05-15 |
| 1881657872 | Jay Jiekuen Lou | Allergy & Immunology | 4625 Churchill St, Suite 211, Shoreview, MN 55126-5868 | 2006-04-10 |
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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.