Individual provider Active NPI

Michael J Cohen, MD

  • Vascular Surgery Physician
  • Orlando, FL
National Provider Identifier
1477533370
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME0048437 Issued in FL
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

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
059581100MedicaidFL
4008324OtherFLAETNA PPO ID NUMBER
230000341OtherFLRAILROAD MEDICARE
339360OtherFLUNITED ID NUMBER
0007911OtherFLAETNA HMO ID NUMBER
5795620OtherFLGHI ID NUMBER
05236OtherFLWELLCARE ID NUMBER
47803XOtherFLBC/BS OF FLORIDA
1791685OtherFLCIGNA ID NUMBER
209960OtherFLAV-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000242 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 2264322742 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048437FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Specialists of Central Florida Inc Vascular Surgery CurrentSince Apr 1, 1986 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.

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

Verify at the official NPI Registry.