Kenneth Alan Cogen, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M10054 Issued in ID

Practice address

746 N College Rd
Suite D
Twin Falls, ID 83301-3486

Phone

(208) 814-7230

Fax

(208) 734-1178

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1629064555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030587",
            "telephone_number": "208-814-7400",
            "fax_number": "208-814-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 N COLLEGE RD",
            "address_2": "SUITE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013486",
            "telephone_number": "208-814-7230",
            "fax_number": "208-734-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGEN",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M10054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807994200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P00704141",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Cleveland, L.C.P.C.
• Joseph Riley Clifford, DPT
• Clisto Beaty, MD, PC
• Darby Clower
• Keeley Coffee, AUD
• Heidi Coillot, PTA
• Timothy J Coiner, D.C.
• Darren W Coleman, MD
• College of Southern Idaho
• Cassaundra A. Collins, LCSW

• Nephrology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Nephrology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.