Provider Demographics
NPI:1205864261
Name:COX, JOEL ROBERT JR (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:ROBERT
Last Name:COX
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 TRICOM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9171
Mailing Address - Country:US
Mailing Address - Phone:843-797-5050
Mailing Address - Fax:843-797-3633
Practice Address - Street 1:2880 TRICOM ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9171
Practice Address - Country:US
Practice Address - Phone:843-797-5050
Practice Address - Fax:843-797-3633
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5521207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC200025994OtherRRMCARE NUMBER
SCGP6337OtherARCIS HEALTHCARE GROUP MEDICIAD PTAN #
SC055219Medicaid
SC620405OtherSELECT HLTH NUMBER
SCDU4331OtherARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN
SCD043OtherARCIS HEALTHCARE GROUP MEDICARE PTAN
SCP01337425OtherRAILROAD MEDICARE PTAN
SC1225006760OtherGROUP NPI
SC20076508OtherSELECT HEALTH DME
SC570634057OtherTAX ID
SC1326287434OtherMEDICAID DME NPI
SC46-2535418OtherARCIS HEALTHCARE GROUP TIN
SCD043OtherARCIS HEALTHCARE GROUP MEDICARE PTAN
SC0422990001Medicare NSC
SCC605291701Medicare PIN
SCC60529D043Medicare PIN