MEDICARE: JONATHAN M. COX M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD026229E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35053MD026229E	OTHER	PA	HEALTH PARTNERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2190739000	OTHER	PA	KEYSTONE IBC
4	4552547	OTHER	PA	AETNA PPO
5	6837843	OTHER	PA	AETNA HMO
6	1502183	OTHER	PA	HIGHMARK BLUE SHIELD
7	30061448	OTHER	PA	KEYSTONE MERCY

General Provider Information

NPI Number	:	1013987544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN M. COX M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8500-6335
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-6335
Country	:	US
Telephone Number	:	215-807-8000
Fax Number	:	215-671-3939

Provider Business Practice Location Address
First Line	:	10101 BUSTLETON AVE
Second Line	:	SUITE C
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3703
Country	:	US
Telephone Number	:	215-671-3920
Fax Number	:	215-671-3939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	08/12/2011

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