Physician Associates LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101040658 Issued in VA

Legal business name

PHYSICIAN ASSOCIATES LTD

Practice address

531 S Sycamore St
Petersburg, VA 23803-5039

Phone

(804) 733-8821

Fax

(804) 861-4365

NPI assigned

Oct 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Robert Cohen, M.D.

Title

Physician/President

Phone

(804) 733-8821

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1033308069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035039",
            "telephone_number": "804-733-8821",
            "fax_number": "804-861-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035039",
            "telephone_number": "804-733-8821",
            "fax_number": "804-861-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "804-733-8821",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101040658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Andrew Phillingane, D.P.M.
• Sarah Neal Phillips
• Phoenix N Peace LLC
• Phoenix-N-Peace Acr, Inc.
• Phoenixmides LLC
• Chitra Pidaparti, PH.D.
• Joshua Paul Pidcoe
• Teisha N. Pink-Gonzalez
• Jeffrey Hall Pinsky, DPM
• Marc Jay Pinsky, D.P.M.

• Internal Medicine Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.