Active NPI
Thomas L Cohen, M.D., P.a.
- Specialist
- La Follette, TN
National Provider Identifier
1679630990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- THOMAS L COHEN, M.D., P.A.
- Practice address
- 923 E Central Ave
Radiology Department
La Follette, TN 37766-2768 - Phone
- (865) 525-9414
- Fax
- (865) 525-9452
- NPI assigned
- Jan 3, 2007
- Last updated
- Feb 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William J Dilworth Jr.
- Title
- Administrator
- Phone
- (865) 525-9414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
923 E Central Ave
Radiology Department
La Follette, TN 37766-2768
Mailing address
PO Box 1427
La Follette, TN 37766-1427
Phone (865) 525-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3386057 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
945 E Central Ave
Lafollette, TN 37766
945 E Central Ave
Lafollette, TN 37766
Phone (423) 907-1413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233619200000",
"number": "1679630990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1427",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377661427",
"telephone_number": "865-525-9414",
"fax_number": "865-525-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 E CENTRAL AVE",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "LA FOLLETTE",
"state": "TN",
"postal_code": "377662768",
"telephone_number": "865-525-9414",
"fax_number": "865-525-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS L COHEN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2009-02-03",
"status": "A",
"authorized_official_last_name": "DILWORTH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "865-525-9414",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3386057",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Follette, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.