Joseph Cohen, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

30688 Issued in CO

Practice address

5377 Manhattan Cir Ste 204
Boulder, CO 80303-4345

Phone

(720) 273-3568

Fax

(720) 612-4271

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 12, 2018 through Mar 12, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• The Healing Collective LLC

  • Primary Care Clinic/Center
  • Niwot, CO
  • NPI 1699174938
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1215925342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5377 MANHATTAN CIR STE 204",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034345",
            "telephone_number": "720-273-3568",
            "fax_number": "720-612-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 MANHATTAN CIR STE 204",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034345",
            "telephone_number": "720-273-3568",
            "fax_number": "720-612-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "30688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01306885",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Craig Cohen, DDS PA
• Eliot Ezra Bruce Cohen
• Emily Cohen, LCSW
• Faith L Cohen, PH.D.
• Jane G. Cohen, LCSW
• Katrine Cohen, MA, MFTC
• Lauren Cohen, PSYD
• Paul B Cohen, M.D.
• Rebecca R Cohen, RD
• Sara N Cohen, MA, LPC

• Obstetrics & Gynecology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.