Active NPI
Mitchell Wayne Cox, M.D.
- Vascular Surgery Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- L6849
- Practice address
- 1005 Harborside Drive
5TH Floor
Galveston, TX 77555 - Phone
- (409) 772-6787
- NPI assigned
- Nov 6, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0061353 | MD | |
| Surgery Physician | 208600000X | 2008-00651 | NC | |
| Vascular Surgery Physician | 2086S0129X | 2008-00651 | NC | |
| Vascular Surgery Physician | 2086S0129X | L6849 | TX | Primary |
Addresses
Primary practice location
1005 Harborside Drive
5TH Floor
Galveston, TX 77555
Mailing address
PO Box 650859
Dept 710
Dallas, TX 75265-0859
Phone (409) 266-5992
Other practice location 1
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-6762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415096100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Case Western University School of Dental Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Harborside Dr FL
Suite 5
Galveston, TX 77555-0001
Phone (409) 772-6781
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 15 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0061353 | MD | MD | Specialist |
| 2008-00651 | NC | MD | Surgery Physician |
| L6849 | TX | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Surgery | Current | Accepting new patients |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients | |
| Premier Physician Group, LLC | Surgery | Past | Accepting new patients |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
403 W 27th St
Lumberton, NC 28358
Phone (919) 671-6619
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619
395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434
812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
146 E Hospital Dr
Ste 205
Angleton, TX 77515
Phone (281) 277-5200
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122
1005 Harborside Dr
Fl 5
Galveston, TX 77555
Phone (409) 747-3376
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695
Interoperability endpoints
- mcox55060@direct.utmb.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1427282045
-
dba Southeastern Multi-Specialty Clinic at Gibson Cancer Center
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1265165518
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
-
- Surgery Physician
- Bethesda, MD
- NPI 1801064704
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1962571919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650859",
"address_2": "DEPT 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650859",
"telephone_number": "409-266-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 HARBORSIDE DRIVE",
"address_2": "5TH FLOOR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77555",
"telephone_number": "409-772-6787"
}
],
"practiceLocations": [
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141422",
"country_code": "US",
"telephone_number": "301-896-6762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COX",
"first_name": "MITCHELL",
"middle_name": "WAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0061353",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2008-00651",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "2008-00651",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "L6849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "415096100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.