Enrique Cotes

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

35-061827 Issued in OH

Practice address

15644 Madison Ave
Suite 218
Lakewood, OH 44107-5622

Phone

(216) 227-9839

Fax

(216) 227-9867

NPI assigned

Oct 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Physicians Centers, Inc

  • Clinical Medical Laboratory
  • Westlake, OH
  • NPI 1396928883
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1053509869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "SUITE 220",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "440-895-5056",
            "fax_number": "440-333-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 MADISON AVE",
            "address_2": "SUITE 218",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075622",
            "telephone_number": "216-227-9839",
            "fax_number": "216-227-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTES",
        "first_name": "ENRIQUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "OH",
            "license": "35-061827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896900",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Gust Coppers, DPM
• Mary Kathleen Corbett, MD
• Cornerstone Behavioral Health LLC
• Kathleen Mary Corrigan, R.N.
• Tom Adolph Corrigan, D.P.M
• Christine Marie Couture, LISW-S
• Charles Richardson Cowap, M.D.
• Christine Cowen, OTR/L
• Krista Cowgill, MS, RD, LD, IFNCP
• Clint I Craig, DPT

• Clinical Pathology Physician in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.