Active NPI
David I Cohen, MD
- Emergency Medicine Physician
- Williamsburg, VA
National Provider Identifier
1265446892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101267584
- Practice address
- 1500 Commonwealth Ave
Williamsburg, VA 23185 - Phone
- (757) 585-2250
- Fax
- (757) 903-2285
- NPI assigned
- Jul 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19308 | AZ | |
| Emergency Medicine Physician | 207P00000X | 0101267584 | VA | Primary |
Addresses
Primary practice location
1500 Commonwealth Ave
Williamsburg, VA 23185
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-6968
Other practice location 2
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-6968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107632 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19308 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado ASC, LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1326563537
-
dba Colorado Center for Arthritis & Osteoporosis
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1265446892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 COMMONWEALTH AVE",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23185",
"telephone_number": "757-585-2250",
"fax_number": "757-903-2285"
}
],
"practiceLocations": [
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-6968",
"fax_number": "602-839-4144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "DAVID",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "19308",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101267584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107632",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.