Merrill Alan Cohen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD013971E Issued in PA

Practice address

4550 Bull Rd Lot 12
Dover, PA 17315-2011

Phone

(717) 292-4804

NPI assigned

Jul 26, 2023

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1396426045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 BULL RD LOT 12",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173152011",
            "telephone_number": "717-292-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 BULL RD LOT 12",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173152011",
            "telephone_number": "717-292-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MERRILL",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD013971E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Denisse Toledo Camp, RN
• Jennifer R Cederberg, PHARMD, RPH
• Central PA Medical Transport LLC
• Lora Kathleen Chesla, PTA
• Paul Thomas Ciechoski, PA-C
• Diane Colvin
• CPS Counseling Services Inc.
• Holly Hope Cruz, DPT
• Gary Czulada, DO
• Kimberly Dacheux

• Emergency Medicine Physician in Dover, PA
• Providers in Dover, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.