Provider Demographics
NPI:1093158172
Name:COX, MEGAN DE GROUCHY (MD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:DE GROUCHY
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:DE GROUCHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4750 E GALBRAITH RD STE 111
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6706
Mailing Address - Country:US
Mailing Address - Phone:513-686-4840
Mailing Address - Fax:
Practice Address - Street 1:4750 E GALBRAITH RD STE 111
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236
Practice Address - Country:US
Practice Address - Phone:513-686-4840
Practice Address - Fax:513-686-4848
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282256208M00000X
OH35134198207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist