Active NPI
Leon Cohen, DPM
- Foot & Ankle Surgery Podiatrist
- Carlsbad, NM
National Provider Identifier
1174610554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 047
- Practice address
- 1002 W Pierce St
Carlsbad, NM 88220-4075 - Phone
- (575) 885-3445
- Fax
- (575) 887-0163
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 047 | NM | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 047 | NM | Primary |
Addresses
Primary practice location
1002 W Pierce St
Carlsbad, NM 88220-4075
Mailing address
1002 W Pierce St
Carlsbad, NM 88220-4075
Phone (575) 885-3445
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00065233 | Other | NM | RR MEDICARE |
| 00053017 | Medicaid | NM | |
| NM015301 | Other | NM | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047 | NM | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast New Mexico Podiatry Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Customized Equipment (DME)
- Hobbs, NM
- NPI 1477111482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1174610554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 W PIERCE ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882204075",
"telephone_number": "575-885-3445",
"fax_number": "575-887-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 W PIERCE ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882204075",
"telephone_number": "575-885-3445",
"fax_number": "575-887-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NM",
"license": "047",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NM",
"license": "047",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00065233",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00053017",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM015301",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.