Marvyn D. Cohen MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

11213 Issued in GA

Legal business name

MARVYN D. COHEN MD PC

Practice address

500 18TH Street
Ste B20
Columbus, GA 31901-1585

Phone

(706) 324-0355

Fax

(706) 324-4773

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marvyn D Cohen, MD

Title

Physician

Phone

(706) 324-0355

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chloe Diane Evans, D.O.

  • Pediatrics Physician
  • Decatur, GA
  • NPI 1568781409
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1336396654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 18TH STREET",
            "address_2": "STE B20",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011585",
            "telephone_number": "706-324-0355",
            "fax_number": "706-324-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 18TH STREET",
            "address_2": "STE B20",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011585",
            "telephone_number": "706-324-0355",
            "fax_number": "706-324-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVYN D. COHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARVYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-324-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "11213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00024505A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "008406710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Martin
• Tyeshia Martin
• Sarah Elizabeth Martino, FNP-C
• Kristy Martiny
• Patricia D Marvets, FNP
• Ashima Marwah, MD
• Emily E Masciovecchio, RDH
• Maria Ashley Masciovecchio, RDH
• Amari Mason, OTR/L
• Crystal Mason, LPN

• Pediatrics Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.