Individual
SARA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 S 19TH ST, ELWOOD, IN 46036-2941
(765) 298-2800
(765) 298-2820
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
(765) 298-5280
(765) 552-3351
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01055131A
IN
207Q00000X
Family Medicine Physician
Primary
01055131A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318436
ANTHEM
IN
05
—
200440280
—
IN
01
—
P00142511
RR MEDICARE
IN
01
—
P01018451
RR MEDICARE
IN
Enumeration date
07/24/2006
Last updated
02/23/2022
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