Basic Information
Provider Information
NPI: 1477543254
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FOX
FirstName: ORAN
MiddleName: DANIEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 E-BUSINESS WAY
Address2: SUITE A
City: CINCINNATI
State: OH
PostalCode: 45241
CountryCode: US
TelephoneNumber: 5133543700
FaxNumber: 5133543705
Practice Location
Address1: 500 E BUSINESS WAY
Address2: SUITE A
City: CINCINNATI
State: OH
PostalCode: 452412374
CountryCode: US
TelephoneNumber: 5133543700
FaxNumber: 5133543705
Other Information
ProviderEnumerationDate: 10/24/2005
LastUpdateDate: 10/02/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X35-03-7520OHY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
3752001OHHUMANAOTHER
40937801OHWELLCAREOTHER
039476505OH MEDICAID
104795501OHAETNAOTHER
00000002114701OHANTHEMOTHER
090058301OHUNITED HEALTH CAREOTHER


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