Individual provider Active NPI

Sandra B Cox, ARNP

  • Dermatology Physician
  • Owensboro, KY
National Provider Identifier
1215976220
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4457P Issued in KY
Practice address
2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone
(270) 685-5777
Fax
(270) 685-0190
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4457P KY Primary

Addresses

Primary practice location

2821 New Hartford Rd
Owensboro, KY 42303-1320

Mailing address

2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 685-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000261 KY Practitioner - Nurse Practitioner 8527017805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Dermatology Associates PSCGroup PAC ID 0547220402, 11 clinicians

Practice addresses (Care Compare)

2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 685-5777

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
81.01
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4457PKYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Dermatology Associates, PSC Dermatology CurrentSince Jul 30, 2007 Accepting new patients
West Kentucky Dermatology, PSC Dermatology PastSince Jan 17, 2021 Accepting new patients
West Kentucky Dermatology, PSC Dermatology Past Accepting new patients

Locations

1413 N Elm St
Ste 202
Henderson, KY 42420
Phone 27068557774791

2821 New Hartford Rd
Owensboro, KY 42303
Phone (270) 685-5777

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1215976220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "270-685-5777",
            "fax_number": "270-685-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 NEW HARTFORD RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031320",
            "telephone_number": "270-685-5777",
            "fax_number": "270-685-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SANDRA",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "4457P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.