Individual provider Active NPI

Cathryn Phillips Cohen, M.D.

  • Ophthalmology Physician
  • Auburn, CA
National Provider Identifier
1700944022
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
27372 Issued in AZ
Practice address
3126 Professional Dr Ste 300
Auburn, CA 95603-2412
Phone
(530) 885-3767
Fax
(530) 885-3201
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 27372 AZ Primary

Addresses

Primary practice location

3126 Professional Dr Ste 300
Auburn, CA 95603-2412

Mailing address

3126 Professional Dr Ste 300
Auburn, CA 95603-2412
Phone (530) 885-3767

Other practice location 1

7396 N La Cholla Blvd
Tucson, AZ 85741-2305
Phone (520) 229-1554

Other identifiers 1

IdentifierTypeStateIssuer
479205MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180720001018 CA Practitioner - Ophthalmology 7214031756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3126 Professional Dr
Suite 300
Auburn, CA 95603-2412

Ste
300 3126 Professional Dr
Auburn, CA 95603-2412

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27372AZMDOphthalmology Physician

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1700944022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 PROFESSIONAL DR STE 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032412",
            "telephone_number": "530-885-3767",
            "fax_number": "530-885-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 PROFESSIONAL DR STE 300",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032412",
            "telephone_number": "530-885-3767",
            "fax_number": "530-885-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7396 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412305",
            "country_code": "US",
            "telephone_number": "520-229-1554",
            "fax_number": "520-229-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CATHRYN",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "27372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479205",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.