Organization Active NPI

Gary W. Cox MD a Professional Corporation

  • Plastic and Reconstructive Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1619548302
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
GARY W. COX MD A PROFESSIONAL CORPORATION
Practice address
4460 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9658
Phone
(225) 300-9399
Fax
(225) 659-8031
NPI assigned
Jul 5, 2021
Last updated
Jul 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Authorized official

Name
Gary W Cox, MDNPI 1053315408
Title
President
Phone
(225) 532-4058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

4460 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9658

Mailing address

4460 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9658
Phone (225) 300-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013002817 LA Part B Supplier - Clinic/Group Practice 2264830728 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625443200000",
    "number": "1619548302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099658",
            "telephone_number": "225-300-9399",
            "fax_number": "225-659-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099658",
            "telephone_number": "225-300-9399",
            "fax_number": "225-659-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W. COX MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-532-4058",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.