NPIMap

Individual provider Active NPI

Nathan Phillip Cohen, M.D.

  • Orthopaedic Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1285686774
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
05658R Issued in LA
Practice address
1717 Oak Park Blvd
3Rd Floor
Lake Charles, LA 70601-8991
Phone
(337) 494-4900
Fax
(337) 494-4797
NPI assigned
May 16, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 05658R LA Primary

Addresses

Primary practice location

1717 Oak Park Blvd
3Rd Floor
Lake Charles, LA 70601-8991

Mailing address

PO Box 122165 Dept 2165
Dallas, TX 75312-0001
Phone (337) 494-2772

Other identifiers 1

IdentifierTypeStateIssuer
1326127MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071204000491 LA Practitioner - Orthopedic Surgery 6608965249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Lake Charles Medical Services Orthopedics Associates LLCGroup PAC ID 9638265697, 13 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1717 Oak Park Blvd
FL 3
Lake Charles, LA 70601-8990
Phone (337) 494-4900

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement54
Lower limb (leg) arthroscopy (minimally invasive joint repair)26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05658RLAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Orthopedics Associates LLC Orthopaedic Surgery CurrentSince Aug 1, 2007 Accepting new patients
Center for Orthopaedics Orthopaedic Surgery Past Accepting new patients
Center for Orthopaedics Orthopaedic Surgery Past Accepting new patients
MMG Nelson Rd LLC Past Accepting new patients

Locations

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

230 W Sale Rd
Lake Charles, LA 70605
Phone (337) 477-5252

4345 Nelson Rd
Ste 101
Lake Charles, LA 70605
Phone (337) 480-7942

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.

Hospital & facility affiliations 8

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1285686774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122165 DEPT 2165",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2772",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD",
            "address_2": "3RD FLOOR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018991",
            "telephone_number": "337-494-4900",
            "fax_number": "337-494-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "NATHAN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "05658R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326127",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.