Individual provider Active NPI

Greg D Cohen, D.O.

  • Family Medicine Physician
  • Chariton, IA
National Provider Identifier
1235119736
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02839 Issued in IA
Practice address
1200 N 7TH St
Chariton, IA 50049-1210
Phone
(641) 774-8103
Fax
(641) 774-8087
NPI assigned
Jan 19, 2006
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02839 IA Primary

Addresses

Primary practice location

1200 N 7TH St
Chariton, IA 50049-1210

Mailing address

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-8103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000460 IA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3274662705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lucas County Health CenterGroup PAC ID 8921916792, 33 clinicians

Practice addresses (Care Compare)

1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2839IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas County Heatlh Center CurrentSince Jun 18, 2011 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Lucas County Health Center Family Medicine CurrentSince Jun 18, 2011 Accepting new patients
Lucas County Health Center CurrentSince Jul 1, 2025 Accepting new patients

Locations

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

1200 N 7th St
Ste 100
Chariton, IA 50049
Phone (641) 774-8103

Interoperability endpoints

  • Direct secure messaging: gcohen556453@direct.unitypoint.org

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1235119736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-8103",
            "fax_number": "641-774-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 7TH ST",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491210",
            "telephone_number": "641-774-8103",
            "fax_number": "641-774-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GREG",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chariton, IA

Sources for this page

Verify at the official NPI Registry.