Individual provider Active NPI

Jeff Cossman, M.D.

  • Anatomic Pathology Physician
  • Potomac, MD
National Provider Identifier
1649541517
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
CDSM27386 Issued in MD
Practice address
11603 Glynshire CT
Potomac, MD 20854-2029
Phone
(301) 424-7344
Fax
(301) 340-8628
NPI assigned
Jan 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X CDSM27386 MD Primary

Addresses

Primary practice location

11603 Glynshire CT
Potomac, MD 20854-2029

Mailing address

11603 Glynshire CT
Potomac, MD 20854-2029
Phone (301) 424-7344

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDSM27386MDMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1649541517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 GLYNSHIRE CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542029",
            "telephone_number": "301-424-7344",
            "fax_number": "301-340-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 GLYNSHIRE CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542029",
            "telephone_number": "301-424-7344",
            "fax_number": "301-340-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSMAN",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "CDSM27386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.