Individual provider Active NPI

Tonya R Cohorn, P.A.-C

  • Medical Physician Assistant
  • Frankfort, KY
National Provider Identifier
1346373370
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA648 Issued in KY
Practice address
593 E Main St
Frankfort, KY 40601-2332
Phone
(502) 223-0308
Fax
(502) 227-5764
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA648 KY Primary

Addresses

Primary practice location

593 E Main St
Frankfort, KY 40601-2332

Mailing address

4119 Browns LN
Ste 1
Louisville, KY 40220-1500
Phone (502) 451-9296

Other identifiers 1

IdentifierTypeStateIssuer
7100173200MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308001027 KY Practitioner - Physician Assistant 6608820147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
Hospital Medicine Services of Ky, LLCGroup PAC ID 0244695104, 34 clinicians

Practice addresses (Care Compare)

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (502) 875-5240

Hospital & facility affiliations

  • Frankfort Regional Medical Center Hospital, Frankfort, KY, CCN 180127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1346373370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 BROWNS LN",
            "address_2": "STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201500",
            "telephone_number": "502-451-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 E MAIN ST",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406012332",
            "telephone_number": "502-223-0308",
            "fax_number": "502-227-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHORN",
        "first_name": "TONYA",
        "middle_name": "R",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100173200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.