Basic Information
| Provider Information | |||||||||
| NPI: | 1205864261 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | JOEL | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2880 TRICOM ST | ||||||||
| Address2: | |||||||||
| City: | NORTH CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294069171 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437975050 | ||||||||
| FaxNumber: | 8437973633 | ||||||||
| Practice Location | |||||||||
| Address1: | 2880 TRICOM ST | ||||||||
| Address2: | |||||||||
| City: | NORTH CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294069171 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8437975050 | ||||||||
| FaxNumber: | 8437973633 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 03/12/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 5521 | SC | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XX0004X | 5521 | SC | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Foot and Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | 200025994 | 01 | SC | RRMCARE NUMBER | OTHER | GP6337 | 01 | SC | ARCIS HEALTHCARE GROUP MEDICIAD PTAN # | OTHER | 055219 | 05 | SC | MEDICAID | 620405 | 01 | SC | SELECT HLTH NUMBER | OTHER | DU4331 | 01 | SC | ARCIS HEALTHCARE GROUP RAILROAD MEDICARE PTAN | OTHER | D043 | 01 | SC | ARCIS HEALTHCARE GROUP MEDICARE PTAN | OTHER | P01337425 | 01 | SC | RAILROAD MEDICARE PTAN | OTHER | 1225006760 | 01 | SC | GROUP NPI | OTHER | 20076508 | 01 | SC | SELECT HEALTH DME | OTHER | 570634057 | 01 | SC | TAX ID | OTHER | 1326287434 | 01 | SC | MEDICAID DME NPI | OTHER |