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Physician Compare National (NPI:1013943984)

HEALTHCARE PROVIDER: JACK L COX JR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1013943984
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0749293611
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20060718000253
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name COX
Individual professional last name
Provider First Name JACK
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Individual professional's medical school
Primary Specialty ANESTHESIOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ARENA ANESTHESIA LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 4385795319
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 16
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 401 E VAUGHN AVE
Group Practice or individual's line 1 address
City RUSTON
Group Practice or individual's city
State LA
Group Practice or individual's state
Zip Code 712705950
Group Practice or individual's zip code (9 digits when available)
Phone Number 3182542454
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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