Organization Active NPI

Aboutskin Dermatology and Dermsurgery PC

  • Specialist
  • Greenwood Village, CO
National Provider Identifier
1366557795
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39913 Issued in CO
Legal business name
ABOUTSKIN DERMATOLOGY AND DERMSURGERY PC
Practice address
5340 S. Quebec St.
Suite 300
Greenwood Village, CO 80111-1909
Phone
(303) 756-7546
Fax
(303) 756-7547
NPI assigned
Aug 19, 2006
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Dr. Joel L Cohen, M.D.NPI 1386667871
Title
Owner
Phone
(303) 756-7546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39913 CO Primary

Addresses

Primary practice location

5340 S. Quebec St.
Suite 300
Greenwood Village, CO 80111-1909

Mailing address

5340 S. Quebec St
Suite 300
Greenwood Village, CO 80111-1909
Phone (303) 756-7546

Other identifiers 3

IdentifierTypeStateIssuer
92605818MedicaidCO
AB667151OtherCOANTHEM GROUP PROVIDER NUM
DB5590OtherCORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040429001163 CO Part B Supplier - Clinic/Group Practice 0547257552 Receives reassigned benefits from 7 practitioners
Practice locations: Greenwood Village, CO; Lone Tree, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1023840Aboutskin Dermatology & Dermsurgery, PC5340 S Quebec St, Ste 300S, Greenwood Village, CO 80111Provider-performed microscopyFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

499 E Hampden Ave
Ste 450
Englewood, CO 80113
Phone (303) 756-7546

5340 S Quebec St
Ste 300
Greenwood Village, CO 80111
Phone (303) 756-7546

5340 S Quebec St
Ste 300S
Greenwood Village, CO 80111

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1366557795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 S. QUEBEC ST",
            "address_2": "SUITE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "303-756-7546",
            "fax_number": "303-756-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 S. QUEBEC ST.",
            "address_2": "SUITE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "303-756-7546",
            "fax_number": "303-756-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUTSKIN DERMATOLOGY AND DERMSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-756-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "39913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92605818",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP PROVIDER NUM",
            "identifier": "AB667151",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB5590",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.