Cobbler Station Family Clinic

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

COBBLER STATION FAMILY CLINIC

Practice address

5130 Charlestown Rd
Suite 1
New Albany, IN 47150-9483

Phone

(812) 949-0140

Fax

(812) 949-0279

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dost Mohammed, M.D.

Title

Owner

Phone

(812) 949-0140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1366613150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD",
            "address_2": "SUITE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "812-949-0140",
            "fax_number": "812-949-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD",
            "address_2": "SUITE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "812-949-0140",
            "fax_number": "812-949-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLER STATION FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "DOST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-949-0140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Denis Clasby, M.D.
• John D Clayton, D.O.
• Cleanse Clinic Jeffersonville LLC
• Travis Edward Clegg, M.D.
• Tawana Coates, MD, MPH
• Cobbler Station Internists
• Susan Kay Cochran, LCSW, CSW-G, ACSW
• Julia J Coddington, NPC
• Erin Coffey, RBT
• Tara Cofie, RBT

• Legal Medicine in New Albany, IN
• Providers in New Albany, IN by specialty
• Legal Medicine in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.