Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 082114 | OH |
Y | 208600000X | Surgeon | 082114 | OH |
N | 2086S0129X | Vascular Surgeon | 82114 | OH |
N | 208C00000X | Colorectal Surgeon | 082114 | OH |
NPI | 1053313171 |
---|---|
Provider Name | Marcus F Cox |
First Address | Lima, OH 45804-2851 |
Second Address | Lima, OH 45804-2851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 05/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2410993 | (05) | OH |
H82462 | (02) | OH |
P00185444 | RAILROAD MEDICARE (01) | OH |