Active NPI
Mary Ann Cox, M.D.
- Pediatrics Physician
- Roanoke, VA
National Provider Identifier
1407850241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101235057
- Practice address
- 21 Highland Ave SE
Ste 100
Roanoke, VA 24013-2218 - Phone
- (540) 344-9213
- Fax
- (540) 345-7559
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101235057 | VA | Primary |
Addresses
Primary practice location
21 Highland Ave SE
Ste 100
Roanoke, VA 24013-2218
Mailing address
21 Highland Ave SE
Ste 100
Roanoke, VA 24013-2218
Phone (540) 344-9213
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54088505616 | Other | VA | JOHN DEERE |
| 268898 | Other | VA | ANTHEM |
| 010022916 | Medicaid | VA | |
| 6421077 | Other | VA | CIGNA |
| 7062419 | Other | VA | AETNA |
| 080228419 | Other | VA | SOUTHERN HEALTH |
| 2166024 | Other | VA | MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235057 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians to Children, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Roanoke, VA
- NPI 1649362351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1407850241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE SE",
"address_2": "STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132218",
"telephone_number": "540-344-9213",
"fax_number": "540-345-7559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HIGHLAND AVE SE",
"address_2": "STE 100",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132218",
"telephone_number": "540-344-9213",
"fax_number": "540-345-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101235057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "54088505616",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "268898",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010022916",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6421077",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7062419",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "080228419",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2166024",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.