Alex M Cocco, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01059700A Issued in IN

Practice address

1812 W Royale Dr
Muncie, IN 47304-2243

Phone

(765) 284-7703

Fax

(765) 284-6838

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• East Central Indiana Vascular Lab LLC

  • Clinical Medical Laboratory
  • Muncie, IN
  • NPI 1245252592
  NPD (past)
• Grove City Medical Center

  • Pain Medicine (Anesthesiology) Physician
  • Grove City, PA
  • NPI 1609390483
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1376519173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CELIA AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034609",
            "telephone_number": "765-282-8905",
            "fax_number": "765-751-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042243",
            "telephone_number": "765-284-7703",
            "fax_number": "765-284-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCO",
        "first_name": "ALEX",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01059700A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200504320",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00915791",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery R Clinger, OT
• Carole Ann Clohessy, PT
• Jolene Renee Clouse, M.D.
• Danyelle Coats
• Jared Coats
• Cory Coffey, FNP-BC
• David James Coffin, AU.D.
• Hannah Coffin
• Kaylee Coffing, RBT
• Leah Coffman, LMHCA

• Surgery Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.