Active NPI
Enesha Cobb, MD
- Emergency Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301100646
- Practice address
- 1500 East Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109-5301 - Phone
- (734) 936-6666
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 289011 | NY | |
| Emergency Medicine Physician | 207P00000X | 4301100646 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1500 East Medical Center Dr
B1 Floor University Hospital Recp Emergency
Ann Arbor, MI 48109-5301
Mailing address
3621 South State Street
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY, MS, FL, TX, WV, IL, ME, ID, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301100646 | MI | MD | Emergency Medicine Physician |
| 289011 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Healthcare System, Inc | Current | Accepting new patients | |
| Alliance Healthcare System Inc | Current | Accepting new patients | |
| Alliance Healthcare System | Current | Accepting new patients | |
| Texas Post Acute Specialists, PA | Emergency Medicine | Current | Accepting new patients |
Locations
59 Harrington Ct
Colchester, CT 06415
Phone (860) 537-2339
10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000
9980 Georgia St
Crown Point, IN 46307
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
1430 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1212
290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800
20 Manor Dr
Oswego, NY 13126
Phone (315) 349-5300
36855 Ridge Rd
Willoughby, OH 44094
Phone (440) 942-4342
1050 Rambling Oaks Dr
Norman, OK 73072
Phone (405) 292-2273
560 Cumberland Hill Rd
Woonsocket, RI 02895
Phone (401) 769-0800
141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020
1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900
4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335
9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700
9825 S Jordan Gtwy
Sandy, UT 84070
601 Red Village Rd
Lyndonville, VT 05851
Phone (802) 626-3361
2700 W Honadel Blvd
Oak Creek, WI 53154
Phone (414) 203-8310
101 13th St
Huntington, WV 25701
Phone (304) 525-7622
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Holly Springs, MS
- NPI 1821143256
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
Emergency Medicine
-
- General Acute Care Hospital
- Holly Springs, MS
- NPI 1801086574
-
- Psychiatric Hospital
- Holly Springs, MS
- NPI 1912182197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1700067816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 SOUTH STATE STREET",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095301",
"telephone_number": "734-936-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "ENESHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-16",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "289011",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301100646",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.