Organization Active NPI

Thomas L Cohen, M.D., P.a.

  • Specialist
  • La Follette, TN
National Provider Identifier
1679630990
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3386057MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.