Kerry Duane Cox, M.D.
Individual provider Active NPI Family Medicine Physician · Shell Knob, MO
NPI 1639287600 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639287600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11321 (MO)
- Practice address
- Hwy 39 & Yy
Shell Knob, MO 65747 - Phone
- (417) 269-2470
- Fax
- (417) 858-6910
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Arkansas College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Cassville
Practice addresses (Care Compare)
94 Main St
Cassville, MO 65625-1610
Phone (417) 847-6000
Hospital & facility affiliations
- Mercy Hospital - Cassville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041208000086 | MO | Practitioner - Emergency Medicine |
4082525241 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11321 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Regional Services | Past | Accepting new patients |
Locations
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11321 | MO | Yes |
Addresses
Primary practice location
Hwy 39 & Yy
Shell Knob, MO 65747
Mailing address
3800 S National Ave
#540
Springfield, MO 65807-5209
Phone (417) 269-6262
Other providers in Shell Knob, MO
- Brian K. Leach DDS LLC
- Brian K. Leach, D.D.S.
- Leslie Anne Brown
- Elizabeth Ann Cornelius
- Cox-Monett Hospital Inc
- Cynthia Curatalo
- Randy Jackson Curl
- Georgann Marie Greissinger
- Aaron Guyer
- Patrick B. Harr
All providers in Shell Knob, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.