Diethra D Cox, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

35054360 Issued in OH

Practice address

5900 Som Center Rd Ste 12123
Willoughby, OH 44094

Phone

(440) 205-0242

Fax

(440) 205-9806

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dcox218590@ehrdirect.uhhospitals.org

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Jean Small, C.N.P.

  • Nurse Practitioner
  • Mentor, OH
  • NPI 1578948824
  Medicare reassignment

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1790796274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD STE 12123",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440943086",
            "telephone_number": "440-205-0242",
            "fax_number": "440-205-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SOM CENTER RD STE 12123",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-205-0242",
            "fax_number": "440-205-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "DIETHRA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35054360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0702789",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Coreman, LPCC
• Jessica Ann Cornelius
• Whitney Costello
• Courtesy City Care LLC
• Kimberly Cowles, LISW
• Brandon Craig, QMHS
• Candace K Craig
• Michelle Ann Cramp
• Kate Creadon
• Katrina Criss

• Infectious Disease Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Infectious Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.