Individual provider Active NPI

Matthew S Cohen, DO

  • Surgery Physician
  • Elyria, OH
National Provider Identifier
1356360655
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7261 Issued in SD
Practice address
630 East River Street Elyria
Department of Emergency Medicine
Elyria, OH 44035
Phone
(440) 329-7450
Fax
(440) 329-5814
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34101583 OH
Family Medicine Physician 207Q00000X 02003160A IN
Surgery Physician 208600000X 7261 SD Primary

Addresses

Primary practice location

630 East River Street Elyria
Department of Emergency Medicine
Elyria, OH 44035

Mailing address

2985 Mill Ridge Cir NW
Canton, OH 44708-5900
Phone (605) 593-6408

Other identifiers 2

IdentifierTypeStateIssuer
1356360655OtherSDWELLMARK
7302250MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000250 OH Practitioner - Emergency MedicinePractitioner - Family Practice 6103724612 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Emergency Services LLCGroup PAC ID 0042113862, 9 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 393-9000

Hospital & facility affiliations

  • Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5225AKMDLicensed Practical Nurse
02003160AINMDFamily Medicine Physician
34101583OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Link Center LLC CurrentSince Aug 21, 2012 Accepting new patients
Emergency Professional Services, Inc. CurrentSince Jul 15, 2015 Accepting new patients
Columbiana Emergency Physicians LLC CurrentSince Oct 1, 2022 Accepting new patients
Hles of Ohio, Inc. Current Accepting new patients
Mid-Ohio Emergency Group, LLC CurrentSince Feb 1, 2019 Accepting new patients
Steward Emergency Physicians Ohio Inc CurrentSince Mar 1, 2022 Accepting new patients
Allen Emergency Physicians, LLC CurrentSince Apr 15, 2023 Accepting new patients
Lorain Emergency Physicians, LLC CurrentSince Apr 15, 2023 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 13, 2022 Accepting new patients
Knox Emergency Services, LLC CurrentSince May 3, 2023 Accepting new patients
Ohio Valley Physicians Inc Family Medicine Past Accepting new patients
First Care Medical Centers LLC Past Accepting new patients
Alaska Medical Clinics, LLC Family Medicine Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mcohen1549608@direct.osumc.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1356360655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 MILL RIDGE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085900",
            "telephone_number": "605-593-6408",
            "fax_number": "440-329-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 EAST RIVER STREET ELYRIA",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-329-7450",
            "fax_number": "440-329-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34101583",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003160A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "7261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1356360655",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302250",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.