Active NPI
Robert Jeremy Cox
- Electroneurodiagnostic Specialist/Technologist
- Phoenix, AZ
National Provider Identifier
1487972626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 111 N Dupont Cir
Phoenix, AZ 85034-1803 - Phone
- (480) 820-5600
- NPI assigned
- May 12, 2010
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 7569053-1200 | UT | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
111 N Dupont Cir
Phoenix, AZ 85034-1803
Mailing address
2970 West 17TH Street
Idaho Falls, ID 83402
Phone (208) 497-1455
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7569053-1200 | UT | MD | Clinical Neurophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487972626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2970 WEST 17TH STREET",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83402",
"telephone_number": "208-497-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N DUPONT CIR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850341803",
"telephone_number": "480-820-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "ROBERT",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "UT",
"license": "7569053-1200",
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.