Provider Demographics
NPI:1386691178
Name:KNOX, JAMES B (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:KNOX
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:90 TER HEUN DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540
Mailing Address - Country:US
Mailing Address - Phone:508-540-0604
Mailing Address - Fax:508-457-0129
Practice Address - Street 1:90 TER HEUN DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-540-0604
Practice Address - Fax:508-457-0129
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MA707482086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2275979OtherAETNA
770002390OtherTRICARE
MA000000029986OtherBOSTON MEDICAL CENTER
MA1386691178OtherUNICARE
11084407OtherCAQH #
MA1386691178OtherGREAT WEST HEALTHCARE
3700007OtherUNITED HEALTH
MA770002390OtherMEDICARE ID
B20948501OtherCIGNA
KNA29564OtherMEDICARE
MA70748OtherMA LICENSE
MA1386691178OtherNETWORK HEALTH
MK0379796AOtherMA CDS
0000262OtherNEIGHBORHOOD HEALTH PLAN
MA3055841Medicaid
730507OtherTUFTS
E42314OtherHPH
J09055OtherBCBS
J09055OtherBCBS
J09055OtherBCBS