Provider Demographics
NPI:1801822168
Name:COX, HEIDI PINKERTON (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:PINKERTON
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 S DOBSON RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4773
Mailing Address - Country:US
Mailing Address - Phone:480-412-9400
Mailing Address - Fax:480-412-9401
Practice Address - Street 1:1432 S DOBSON RD STE 301
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4773
Practice Address - Country:US
Practice Address - Phone:480-412-9400
Practice Address - Fax:480-412-9401
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ354682086S0120X
CODR-507592086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ171829OtherAZ MEDICARE
AZ120449OtherAZ MEDICAID
AZZ152463OtherAZ MEDICARE