Roger V Cox, MD, EDD
Individual provider Active NPI General Practice Physician · Laughlin, NV
NPI 1104038488 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1104038488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A79828 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150105001861 | TX | Practitioner - Orthopedic Surgery |
2668646068 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79828 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix Area | Current |
Accepting new patients | |
| DHHS IHS Phoenix Area | Current |
Accepting new patients | |
| DHHS IHS Phoenix | Current |
Accepting new patients | |
| Irene Benn Medical Center | Current |
Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients |
Locations
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A79828 | CA | |
| General Practice Physician | 208D00000X | A79828 | CA | Yes |
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
Other providers in Laughlin, NV
- Jiann Choo
- Sherri L Church
- Rodney S Clousing
- Community Birth Group
- Bonnie Corley
- Brittany Dale
- Kateri Kate Dancy
- Desert Hearts Home Care LLC
- Desert Oasis Medical Center LLC
- Kimberly Doiron
All providers in Laughlin, NV · General Practice Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.