Provider Demographics
NPI:1467658617
Name:DONALD R COX D O PC
Entity Type:Organization
Organization Name:DONALD R COX D O PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BINGAMEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-762-4850
Mailing Address - Street 1:35600 CENTRAL CITY PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2046
Mailing Address - Country:US
Mailing Address - Phone:734-762-4850
Mailing Address - Fax:734-762-9113
Practice Address - Street 1:35600 CENTRAL CITY PKWY STE 101
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2046
Practice Address - Country:US
Practice Address - Phone:734-762-4850
Practice Address - Fax:734-762-9113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008384207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI113368384Medicaid
MI440H212640OtherBCBS OF MICHIGAN
MI440H212640OtherBLUE CARE NETWORK
MI113368384Medicaid
MI440H212640OtherBCBS OF MICHIGAN
MI=========OtherCOMMERCIAL F I N