Active NPI
Sandra W Cohen, M.D.
- Internal Medicine Physician
- Cordova, TN
National Provider Identifier
1275569055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 44372
- Practice address
- 57 Germantown CT
Suite 100
Cordova, TN 38018-7273 - Phone
- (901) 758-7888
- Fax
- (901) 266-6445
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 147466 | NY | |
| Internal Medicine Physician | 207R00000X | 44372 | TN | Primary |
Addresses
Primary practice location
57 Germantown CT
Suite 100
Cordova, TN 38018-7273
Mailing address
PO Box 1000
Dept # 457
Memphis, TN 38148-0001
Phone (901) 758-7888
Other practice location 1
8040 Wolf River Blvd Ste 102
Germantown, TN 38138-1773
Phone (901) 725-8606
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513556 | Medicaid | TN | |
| P01246356 | Other | TN | RAILROAD MEDICARE |
| 4355484 | Other | TN | BCBS |
| 177839001 | Medicaid | AR | |
| 00728228 | Medicaid | MS |
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 |
|---|---|---|---|
| 44372 | TN | MD | Internal Medicine Physician |
| 147466 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1275569055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "DEPT # 457",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480001",
"telephone_number": "901-758-7888",
"fax_number": "901-266-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 GERMANTOWN CT",
"address_2": "SUITE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187273",
"telephone_number": "901-758-7888",
"fax_number": "901-266-6445"
}
],
"practiceLocations": [
{
"address_1": "8040 Wolf River Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381773",
"country_code": "US",
"telephone_number": "901-725-8606",
"fax_number": "901-759-9254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "SANDRA",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "147466",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "44372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513556",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01246356",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4355484",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177839001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00728228",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.