David L Cohen, M.D.
Individual provider Active NPI Anesthesiology Physician · Portland, OR
NPI 1215068960 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1215068960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD182776 (OR)
- Practice address
- 707 SW Washington St Ste 700
Portland, OR 97205-3523 - Phone
- (503) 299-9906
- Fax
- (503) 225-9002
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- State University of New York at Buffalo School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oregon Anesthesiology Group PC
Practice addresses (Care Compare)
707 SW Washington St
Suite 700
Portland, OR 97205-3523
Phone (503) 299-9906
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161102002707 | VT | Practitioner - Anesthesiology | 4688705098 | Reassigns benefits to 2 organizations |
| I20170802002210 | OR | Practitioner - Anesthesiology | 4688705098 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD182776 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Anesthesiology Group PC | Anesthesiology | Current |
Accepting new patients |
| Central Vermont Medical Center Inc | Current |
Accepting new patients | |
| Alliance Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Oag Trauma Services LLC | Anesthesiology | Past |
Accepting new patients |
Locations
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
707 SW Washington St
Ste 700
Portland, OR 97205
1445 State St
Salem, OR 97301
Phone (503) 315-7338
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0053387 | MD | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | D0053387 | MD | |
| Anesthesiology Physician | 207L00000X | MD182776 | OR | Yes |
Addresses
Primary practice location
707 SW Washington St Ste 700
Portland, OR 97205-3523
Mailing address
PO Box 35147
#1801
Seattle, WA 98124-5147
Phone (503) 299-9906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500731426 | Medicaid | OR | |
| 150500900 | Medicaid | MD | |
| 050080749 | Other | MD | RAILROAD MEDICARE |
Other providers in Portland, OR
- Alexandra Cohen
- Ashley Cohen
- Caren Gail Cohen
- Carrie Cohen
- Corinne Peimer Cohen
- David Mason Cohen
- Deborah Janet Cohen
- Desmond Cohen
- Donald Dale Cohen
- Emma Jewell Cohen
All providers in Portland, OR · Anesthesiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.