Individual provider Active NPI

Shawn H Cox, MD

  • Family Medicine Physician
  • Maitland, FL
National Provider Identifier
1457346827
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95062 Issued in FL
Practice address
901 N Lake Destiny Rd
Ste 400
Maitland, FL 32751-4844
Phone
(407) 200-2230
Fax
(407) 200-1352
NPI assigned
Sep 13, 2005
Last updated
Mar 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME95062 FL Primary

Addresses

Primary practice location

901 N Lake Destiny Rd
Ste 400
Maitland, FL 32751-4844

Mailing address

901 N Lake Destiny Rd
Ste 400
Maitland, FL 32751-4844
Phone (407) 200-2230

Other identifiers 1

IdentifierTypeStateIssuer
274891600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000321 FL Practitioner - Family Practice 3274590146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME95062FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Medicine Current Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Mar 13, 2012 Accepting new patients
Adventist Health System/Sunbelt, Inc. Family Medicine CurrentSince Mar 13, 2012 Accepting new patients
Metro Center Health Care Group PC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: scox73829@adventhealth.direct-ci.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1457346827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N LAKE DESTINY RD",
            "address_2": "STE 400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514844",
            "telephone_number": "407-200-2230",
            "fax_number": "407-200-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N LAKE DESTINY RD",
            "address_2": "STE 400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514844",
            "telephone_number": "407-200-2230",
            "fax_number": "407-200-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SHAWN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274891600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.