Individual provider Active NPI

Roger V Cox, MD, EDD

  • General Practice Physician
  • Laughlin, NV
National Provider Identifier
1104038488
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A79828 Issued in CA
Practice address
3650 S Pointe Cir Ste 200
Laughlin, NV 89029-0423
Phone
(702) 791-9024
Fax
(702) 791-9214
NPI assigned
May 7, 2007
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A79828 CA
General Practice Physician 208D00000X A79828 CA Primary

Addresses

Primary practice location

3650 S Pointe Cir Ste 200
Laughlin, NV 89029-0423

Mailing address

3650 S Pointe Cir Ste 2000
Laughlin, NV 89029-0424
Phone (702) 791-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105001861 TX Practitioner - Orthopedic SurgeryPractitioner - Family PracticePractitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - General Practice 2668646068 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix CurrentSince Dec 19, 2014 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 19, 2014 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Irene Benn Medical Center CurrentSince Mar 23, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 28, 2017 Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1104038488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S POINTE CIR STE 2000",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290424",
            "telephone_number": "702-791-9024",
            "fax_number": "702-791-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S POINTE CIR STE 200",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290423",
            "telephone_number": "702-791-9024",
            "fax_number": "702-791-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "ROGER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD, EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79828",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A79828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin, NV

Sources for this page

Verify at the official NPI Registry.