Individual provider Active NPI

Esther Myra Cohen, P.A.C

  • Physician Assistant
  • Reisterstown, MD
National Provider Identifier
1255417242
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C000100 Issued in MD
Practice address
750 Main St
Ste 302
Reisterstown, MD 21136-2515
Phone
(410) 526-3050
NPI assigned
Oct 31, 2006
Last updated
Apr 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C000100 MD Primary

Addresses

Primary practice location

750 Main St
Ste 302
Reisterstown, MD 21136-2515

Mailing address

515 Fairmount Ave
Ste 400
Towson, MD 21286-5466
Phone (410) 494-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000028 MD Practitioner - Physician Assistant 6204982085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C000100MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology Group, LLC CurrentSince Dec 1, 2017 Accepting new patients
Lawrence R. Feldman, M.D., P.C. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Clinical Associates P a Physician Assistant Past Accepting new patients

Locations

6021 University Blvd
Ste 390
Ellicott City, MD 21043
Phone (410) 203-0607

Interoperability endpoints

  • Direct secure messaging: ecohen@directaddress.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1255417242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "address_2": "STE 400",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1324",
            "fax_number": "410-494-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "STE 302",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ESTHER",
        "middle_name": "MYRA",
        "name_prefix": "Ms.",
        "credential": "P.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C000100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.