Individual provider Active NPI

Russell Cohen, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1700887460
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
25011 Issued in AZ
Practice address
5301 E Grant Rd
Orthopaedic Building, 1St Floor
Tucson, AZ 85712-2805
Phone
(520) 784-6200
Fax
(520) 784-6109
NPI assigned
Aug 3, 2005
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25011 AZ
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 25011 AZ Primary

Addresses

Primary practice location

5301 E Grant Rd
Orthopaedic Building, 1St Floor
Tucson, AZ 85712-2805

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Other practice location 1

3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160
Phone (480) 420-0749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001459 AZ Practitioner - Orthopedic Surgery 3173501418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arizona College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

3811 E Bell Rd
Suite 309
Phoenix, AZ 85032-2160
Phone (480) 420-0749

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement78
Knee replacement160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25011AZMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Mar 19, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Mar 19, 2019 Accepting new patients
Orthopedic Specialists of North America, PLLC Orthopaedic Surgery Past Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1840 S Stapley Dr
Ste 137
Mesa, AZ 85204
Phone (602) 952-0002

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

8630 E Via de Ventura
Ste 201
Scottsdale, AZ 85258
Phone (214) 556-3227

Interoperability endpoints

  • Direct secure messaging: russell.cohen.1@600.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1700887460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "address_2": "ORTHOPAEDIC BUILDING, 1ST FLOOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 E Bell Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322160",
            "country_code": "US",
            "telephone_number": "480-420-0749",
            "fax_number": "480-420-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "25011",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AZ",
            "license": "25011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.