Individual provider Active NPI

Dana Roberts Cohen, PA-C

  • Medical Physician Assistant
  • Tempe, AZ
National Provider Identifier
1053695437
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4917 Issued in AZ
Practice address
1315 W. Southern Ave
Tempe, AZ 85282
Phone
(480) 718-1280
Fax
(480) 718-1281
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4917 AZ Primary

Addresses

Primary practice location

1315 W. Southern Ave
Tempe, AZ 85282

Mailing address

2323 N. Central Ave Unit 1705
Phoenix, AZ 85004
Phone (651) 783-4818

Other names 1

  • Ms. Dana Margaret Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000131 AZ Practitioner - Physician Assistant 4880867209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Outreach Access to HealthGroup PAC ID 3577743764, 107 clinicians

Practice addresses (Care Compare)

16251 N Cave Creek Rd
Phoenix, AZ 85032-2976
Phone (480) 882-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4917AZMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health CurrentSince Feb 1, 2016 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 1, 2016 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 10, 2014 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Feb 1, 2016 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 10, 2014 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 1, 2016 Accepting new patients
Concentra Primary Care of Arizona PA Past Accepting new patients
Val Vista Lakes Family Medicine, PC Medical PastSince Jul 1, 2004 Accepting new patients
Valley Anesthesiology Consultants, Inc. Past Accepting new patients

Locations

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

16251 N Cave Creek Rd
Phoenix, AZ 85032

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9015 N 3rd St
Phoenix, AZ 85020

20440 N 27th Ave
Phoenix, AZ 85027

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

8705 E McDowell Rd
Scottsdale, AZ 85257

1626 S Priest Dr
Ste 104
Tempe, AZ 85281
Phone (480) 882-7320

Interoperability endpoints

  • Direct secure messaging: dcohen607527@direct.ochin.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1053695437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N. CENTRAL AVE UNIT 1705",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "651-783-4818",
            "fax_number": "480-718-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W. SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-718-1280",
            "fax_number": "480-718-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DANA",
        "middle_name": "ROBERTS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "ROBERTS",
            "middle_name": "MARGARET",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.