Active NPI
Michael J Cohen, MD
- Vascular Surgery Physician
- Orlando, FL
National Provider Identifier
1477533370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME0048437
- Practice address
- 80 W Michigan St
Orlando, FL 32806-4453 - Phone
- (407) 648-4323
- Fax
- (407) 839-1493
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME0048437 | FL | Primary |
Addresses
Primary practice location
80 W Michigan St
Orlando, FL 32806-4453
Mailing address
80 W Michigan St
Orlando, FL 32806-4453
Phone (407) 648-4323
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059581100 | Medicaid | FL | |
| 4008324 | Other | FL | AETNA PPO ID NUMBER |
| 230000341 | Other | FL | RAILROAD MEDICARE |
| 339360 | Other | FL | UNITED ID NUMBER |
| 0007911 | Other | FL | AETNA HMO ID NUMBER |
| 5795620 | Other | FL | GHI ID NUMBER |
| 05236 | Other | FL | WELLCARE ID NUMBER |
| 47803X | Other | FL | BC/BS OF FLORIDA |
| 1791685 | Other | FL | CIGNA ID NUMBER |
| 209960 | Other | FL | AV-MED ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0048437 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vascular Specialists of Central Florida Inc | Vascular Surgery | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Past | Accepting new patients | |
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2080 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 241-7585
1200 Sligh Blvd
Orlando, FL 32806
Phone (407) 648-0269
80 W Michigan St
Orlando, FL 32806
Phone (407) 648-4323
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Vascular Surgery Physician
- Orlando, FL
- NPI 1811976004
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1477533370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064453",
"telephone_number": "407-648-4323",
"fax_number": "407-839-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 W MICHIGAN ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064453",
"telephone_number": "407-648-4323",
"fax_number": "407-839-1493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME0048437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059581100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID NUMBER",
"identifier": "4008324",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "230000341",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED ID NUMBER",
"identifier": "339360",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID NUMBER",
"identifier": "0007911",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI ID NUMBER",
"identifier": "5795620",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE ID NUMBER",
"identifier": "05236",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FLORIDA",
"identifier": "47803X",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID NUMBER",
"identifier": "1791685",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV-MED ID NUMBER",
"identifier": "209960",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.