Active NPI
Jerome D Cohen, MD
- Cardiovascular Disease Physician
- Saint Louis, MO
National Provider Identifier
1235147109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 29623
- Practice address
- 8138 Westmoreland Ave
Provider Enrollment
Saint Louis, MO 63105-3731 - Phone
- (314) 721-2820
- NPI assigned
- Aug 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 29623 | MO | Primary |
Addresses
Primary practice location
8138 Westmoreland Ave
Provider Enrollment
Saint Louis, MO 63105-3731
Mailing address
8138 Westmoreland Ave
Provider Enrollment
Saint Louis, MO 63105-3731
Phone (314) 721-2820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510001703 | MO | Order and Referring Only - Cardiovascular Disease (Cardiology) | 8921397274 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271376000000",
"number": "1235147109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8138 WESTMORELAND AVE",
"address_2": "PROVIDER ENROLLMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053731",
"telephone_number": "314-721-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8138 WESTMORELAND AVE",
"address_2": "PROVIDER ENROLLMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053731",
"telephone_number": "314-721-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JEROME",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2010-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "29623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.