Sara M Cox, PA
Individual provider Active NPI Medical Physician Assistant · Greenville, MI
NPI 1366492217 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1366492217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601004583 (MI)
- Practice address
- 709 S Greenville West Dr
Greenville, MI 48838-3514 - Phone
- (616) 754-9146
- Fax
- (616) 754-9152
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051129000610 | MI | Practitioner - Physician Assistant | 0345260824 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004583 | MI | MD | Medical Physician Assistant |
Interoperability endpoints
- scox75216@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004583 | MI | |
| Medical Physician Assistant | 363AM0700X | 5601004583 | MI | Yes |
Addresses
Primary practice location
709 S Greenville West Dr
Greenville, MI 48838-3514
Mailing address
307 N Main St
Rockford, MI 49341-1019
Phone (989) 506-2376
Other practice location 1
743 E Beltline Ave NE
Grand Rapids, MI 49525-6045
Phone (616) 456-9553
Other practice location 2
3210 Eagle Run Dr NE
Grand Rapids, MI 49525-7051
Phone (616) 456-9553
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601004583 | Other | MI | STATE LICENSE NUMBER |
Other providers in Greenville, MI
- Kyle Jonathan Cook
- Travis Cook
- Trisha Cooper
- Kevin Copeland
- Evelyn Rae Corbin
- Craig W White DO PC
- Dawn Marie Cramer
- Alexander Edward-Tapani Cribley
- David Crittenden MD
- Chloe Cruz
All providers in Greenville, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. 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.