Gregory a. Cox, PA-C, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

AZ4209 Issued in AZ

Legal business name

GREGORY A. COX, PA-C, PLLC

Practice address

709 W Birch Ave
Flagstaff, AZ 86001-4417

Phone

(928) 890-4108

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Alexander Cox, PA

Title

Physician Assistant/Member

Phone

(928) 890-4108

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1558614834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W BIRCH AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014417",
            "telephone_number": "928-890-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W BIRCH AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014417",
            "telephone_number": "928-890-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. COX, PA-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/MEMBER",
        "authorized_official_telephone_number": "928-890-4108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "AZ4209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z125054",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376197",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.