NPIMap

Organization Active NPI

Edward Robert Cohen

Doing business as dr Edward Robert Cohen

  • Durable Medical Equipment & Medical Supplies
  • Laurel, MS
National Provider Identifier
1437327574
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
80055 Issued in MS
Legal business name
EDWARD ROBERT COHEN
Doing business as
dr Edward Robert Cohen
Practice address
136 S 15TH Ave
Laurel, MS 39440-4124
Phone
(601) 649-6866
Fax
(601) 649-6828
NPI assigned
Feb 12, 2008
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Edward Robert Cohen, DPMNPI 1255338760
Title
Owner
Phone
(228) 832-4475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 80055 MS Primary

Addresses

Primary practice location

136 S 15TH Ave
Laurel, MS 39440-4124

Mailing address

12056 Mobile Ave
Gulfport, MS 39503-3004
Phone (228) 832-4475

Other identifiers 1

IdentifierTypeStateIssuer
05859062MedicaidMS

Other names 1

  • dr Edward Robert Cohen Doing business as

National Provider Directory

National Provider Directory

Locations

136 S 15th Ave
Laurel, MS 39440
Phone (601) 428-8428

Practitioners & affiliated clinicians

Practitioners 1

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": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1437327574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12056 MOBILE AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033004",
            "telephone_number": "228-832-4475",
            "fax_number": "228-832-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404124",
            "telephone_number": "601-649-6866",
            "fax_number": "601-649-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD ROBERT COHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-832-4475",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "80055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05859062",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dr Edward Robert Cohen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.