Healthcare Provider Details

I. General information

NPI: 1164084901
Provider Name (Legal Business Name): DAWN MARIE COX DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN MARIE KILLMER DO

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 SMITH RD STE 300
CINCINNATI OH
45209-1974
US

IV. Provider business mailing address

5053 WOOSTER RD
CINCINNATI OH
45226-2326
US

V. Phone/Fax

Practice location:
  • Phone: 513-751-2273
  • Fax: 513-751-1848
Mailing address:
  • Phone: 513-751-2273
  • Fax: 513-751-1848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number58.033186
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOT019605
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34.018040
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: