MR. DEREK SHANE COX (NPI# 1083821318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083821318 |
| Entity Type | Individual |
| Full Name | MR. DEREK SHANE COX |
| Credential | ARRT ( R ) , ARDMS |
| Practice Address |
167 North Main Street Tuba AZ 86045 |
| Mailing Address |
1161 Palo Verde Pl Lake Havasu City AZ 86404-1462 |
| Practice Telephone | 9282832704 |
| Mailing Telephone | 9285051747 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
CRT-9012 | AZ | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396209300 | Brendan J Berthold | Radiologic Technologist | 14791 E 54th Dr, Yuma, AZ 85367-9210 | 2019-01-23 |
| 1194257758 | Angela Bazemore Quaye | Radiologic Technologist | 9177 N 73rd Ln, Peoria, AZ 85345-7190 | 2017-03-31 |
| 1235596511 | Rrmc Diagnostics Inc | Radiologic Technologist | 1661 N Swan Rd Ste 214, Tucson, AZ 85712-4052 | 2016-01-18 |
| 1790185023 | Georges Douyon | Radiologic Technologist | 20625 W Walton Dr, Buckeye, AZ 85396-3534 | 2014-08-22 |
| 1275952129 | Kyle Alsberry Sr. | Radiologic Technologist | 4870 E Placita Arenosa, Tucson, AZ 85718-5401 | 2014-04-08 |
| 1871822593 | Alison Golden | Radiologic Technologist | 4085 W Laredo St, Chandler, AZ 85226-2126 | 2009-12-08 |
| 1235364753 | Jose L Inclan | Radiologic Technologist | 2911 S 8th Avenue, Yuma, AZ 85364-8000 | 2009-05-28 |
| 1881162808 | Phoenix Ultrasound Studio | Radiologic Technologist | 5251 W Campbell Ave Ste 209, Phoenix, AZ 85031-1719 | 2018-11-07 |
| 1760939268 | Phoenix Medical Imaging | Radiologic Technologist | 2601 N 3rd St, Suite 308, Phoenix, AZ 85004-1104 | 2016-09-01 |
| 1174927891 | Pure Image Mobile Ultrasound Group LLC | Radiologic Technologist | 2281 W 24th St Ste 5, Yuma, AZ 85364-6197 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.