Jesse D Cohen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

9868 Issued in AZ

Practice address

333 E Virginia Ave Ste 210
Phoenix, AZ 85004-1210

Phone

(602) 253-5993

Fax

(602) 253-4254

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Hematology Oncology Associates, P.C.

  • Specialist
  • Phoenix, AZ
  • NPI 1467594598
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487792875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041210",
            "telephone_number": "602-253-5993",
            "fax_number": "602-253-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E VIRGINIA AVE STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041210",
            "telephone_number": "602-253-5993",
            "fax_number": "602-253-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JESSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "9868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201062",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Cohen, MD
• Dawn L Cohen, MD
• Erik Cohen, M.D.
• Erika Michelle Cohen
• Gregory Clifford Cohen, MD
• Joel G Cohen, M.D.
• Joseph R Cohen, DDS
• Kimberly Cohen, PH.D.
• Linda L. Cohen, LPC
• Tony P. Cohn, O.D.

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.