Individual provider Active NPI

Paul Cohen, MD

  • Emergency Medicine Physician
  • North Conway, NH
National Provider Identifier
1447638085
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18944 Issued in NH
Practice address
3073 White Mountain Hwy
North Conway, NH 03860
Phone
(603) 356-5461
NPI assigned
May 15, 2015
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301107169 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301107169 MI
Emergency Medicine Physician 207P00000X 18944 NH Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860

Mailing address

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Other practice location 1

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Other practice location 2

411 Naomi St
Plainwell, MI 49080-1222
Phone (269) 685-0700

Other practice location 3

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6115

Other practice location 4

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20180829002561 NH Practitioner - Emergency Medicine 8325353600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Sep 5, 2018 Accepting new patients
Memorial Hospital CurrentSince Sep 5, 2018 Accepting new patients
Kalamazoo Acute Care Specialists PLC Past Accepting new patients

Locations

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Interoperability endpoints

  • Direct secure messaging: pcohen235421@direct.mmc.mainehealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1447638085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-356-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Madison St",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490681143",
            "country_code": "US",
            "telephone_number": "269-781-4271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Naomi St",
            "address_purpose": "LOCATION",
            "city": "Plainwell",
            "state": "MI",
            "postal_code": "490801222",
            "country_code": "US",
            "telephone_number": "269-685-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081282",
            "country_code": "US",
            "telephone_number": "269-337-6115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081282",
            "country_code": "US",
            "telephone_number": "269-337-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301107169",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301107169",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "18944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.