NPIMap

Individual provider Active NPI

Lisa Fox Cohen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Conroe, TX
National Provider Identifier
1336144427
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J9863 Issued in TX
Practice address
504 Medical Center Blvd
Conroe, TX 77304
Phone
(713) 481-3544
Fax
(713) 432-0221
NPI assigned
Jun 16, 2005
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J9863 TX Primary

Addresses

Primary practice location

504 Medical Center Blvd
Conroe, TX 77304

Mailing address

PO Box 4677
Houston, TX 77210-4677

Other identifiers 1

IdentifierTypeStateIssuer
220033491OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070202000043 TX Practitioner - Pathology 3678575776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8527956176, 47 clinicians

Practice addresses (Care Compare)

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone (409) 724-7389

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Specialty Hospital Kingwood L L C Current Accepting new patients
Baylor Pathology Past Accepting new patients
Baylor Pathology Anatomic Pathology & Clinical Pathology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients
Community Pathology Associates of Texas Anatomic Pathology & Clinical Pathology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lcohen@direct.uspi.com

Organizations & group practices 7

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 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1336144427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4677",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "713-481-3544",
            "fax_number": "713-432-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LISA",
        "middle_name": "FOX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J9863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220033491",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.