Active NPI
Cohen Podiatry PC
- Foot & Ankle Surgery Podiatrist
- Detroit, MI
National Provider Identifier
1679667620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC001139
- Legal business name
- COHEN PODIATRY PC
- Practice address
- 7633 E Jefferson
Suite 250
Detroit, MI 48214 - Phone
- (313) 821-3338
- Fax
- (313) 823-5363
- NPI assigned
- Oct 3, 2006
- 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
- Dr. Stanley Cohen, DPM
- Title
- President
- Phone
- (313) 821-3338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC001139 | MI | Primary |
Addresses
Primary practice location
7633 E Jefferson
Suite 250
Detroit, MI 48214
Mailing address
7633 E Jefferson
Suite 250
Detroit, MI 48214
Phone (313) 821-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1582680 | Medicaid | MI | |
| 480H227650 | Other | MI | BCBSM GROUP PIN |
National Provider Directory
National Provider DirectoryLocations
7633 E Jefferson Ave
Ste 250
Detroit, MI 48214
Phone (313) 581-2121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1679667620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7633 E JEFFERSON",
"address_2": "SUITE 250",
"city": "DETROIT",
"state": "MI",
"postal_code": "48214",
"telephone_number": "313-821-3338",
"fax_number": "313-823-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7633 E JEFFERSON",
"address_2": "SUITE 250",
"city": "DETROIT",
"state": "MI",
"postal_code": "48214",
"telephone_number": "313-821-3338",
"fax_number": "313-823-5363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COHEN PODIATRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "STANLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-821-3338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "SC001139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1582680",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP PIN",
"identifier": "480H227650",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.