Provider Demographics
NPI:1093158172
Name:COX, MEGAN DE GROUCHY (MD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:DE GROUCHY
Last Name:COX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:DE GROUCHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 S CLINTON AVE STE H210
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2690
Mailing Address - Country:US
Mailing Address - Phone:585-341-7299
Mailing Address - Fax:
Practice Address - Street 1:2400 S CLINTON AVE STE H210
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2690
Practice Address - Country:US
Practice Address - Phone:585-341-7299
Practice Address - Fax:585-341-4262
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35134198207R00000X
NY282256208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine