Individual provider Active NPI

Evan Martin Cohen, D.O.

  • Obstetrics & Gynecology Physician
  • St Petersburg, FL
National Provider Identifier
1477896165
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS15583 Issued in FL
Practice address
5959 Central Ave
St Petersburg, FL 33710-8502
Phone
(727) 767-6060
NPI assigned
Apr 1, 2013
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS15583 FL Primary

Addresses

Primary practice location

5959 Central Ave
St Petersburg, FL 33710-8502

Mailing address

5959 Central Ave
St Petersburg, FL 33710-8502
Phone (727) 767-6060

Other practice location 1

2 Tampa General Cir Fl 4
Tampa, FL 33606-3603
Phone (813) 974-2201

Other identifiers 2

IdentifierTypeStateIssuer
101036500MedicaidFL
KH655OtherFLBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecohen145926@direct.tgh.org

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
I20181102001525 FL Practitioner - Obstetrics/Gynecology 0648498170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Neonatology, IncGroup PAC ID 0446387641, 17 clinicians

Practice addresses (Care Compare)

501 6TH Ave S
St Petersburg, FL 33701-4634
Phone (727) 344-6060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
West Coast Neonatology, Inc. Obstetrics & Gynecology CurrentSince Aug 6, 2023 Accepting new patients
All Children's OB/GYN Specialists Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients

Locations

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

5959 Central Ave
St Petersburg, FL 33710
Phone (727) 767-6060

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 344-6060

Interoperability endpoints

  • Direct secure messaging: ecohen1020258@direct.hopkinsmedicine.org
  • Direct secure messaging: ecohen145926@direct.tgh.org
  • Direct secure messaging: ecohen387185@orlandohealth.medalliesdirect.net

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1477896165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-767-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-767-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Tampa General Cir Fl 4",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063603",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "EVAN",
        "middle_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS15583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101036500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "KH655",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecohen145926@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir Fl 4",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.