Active NPI
Stephen A Cohen, M.D.
- Family Medicine Physician
- Tucson, AZ
National Provider Identifier
1649254780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28706
- Practice address
- 1396 N Wilmot Rd
Tucson, AZ 85712 - Phone
- (520) 324-2160
- Fax
- (520) 324-1460
- NPI assigned
- Dec 2, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28706 | AZ | Primary |
Addresses
Primary practice location
1396 N Wilmot Rd
Tucson, AZ 85712
Mailing address
3741 E Calle del Cacto
Tucson, AZ 85718-3341
Phone (520) 909-8802
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 535734 | Medicaid | AZ | |
| Z136117 | Other | AZ | MEDICARE PTAN |
| Z158860 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1649254780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3741 E CALLE DEL CACTO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857183341",
"telephone_number": "520-909-8802",
"fax_number": "520-881-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1396 N WILMOT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85712",
"telephone_number": "520-324-2160",
"fax_number": "520-324-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "STEPHEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "28706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "535734",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z136117",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z158860",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.