MEDICARE: DR. KATHERINE A COX DO

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	207Q00000X	Family Medicine Physician	268963	NY
2	207Q00000X	Family Medicine Physician	5101018730	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942520424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE A COX DO

Provider Business Mailing Address
First Line	:	12369 E MICHIGAN AVE
Second Line	:
City	:	GRASS LAKE
State	:	MI
Zip	:	49240-9213
Country	:	US
Telephone Number	:	517-205-2525
Fax Number	:	313-876-1305

Provider Business Practice Location Address
First Line	:	12369 E MICHIGAN AVE
Second Line	:
City	:	GRASS LAKE
State	:	MI
Zip	:	49240-9213
Country	:	US
Telephone Number	:	517-205-2525
Fax Number	:	531-387-6130

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

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	03/13/2023

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