Active NPI
Eric David Cohen, MD
- Cardiovascular Disease Physician
- Roswell, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD2019-0764
- Practice address
- 405 W Country Club Rd
Roswell, NM 88201-5209 - Phone
- (575) 624-4663
- Fax
- (575) 624-4907
- NPI assigned
- Dec 28, 2005
- Last updated
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 32942 | AZ | |
| Cardiovascular Disease Physician | 207RC0000X | 14308 | AL | |
| Interventional Cardiology Physician | 207RI0011X | 32942 | AZ | |
| Interventional Cardiology Physician | 207RI0011X | MD2019-0764 | NM | |
| Cardiovascular Disease Physician | 207RC0000X | MD2019-0764 | NM | Primary |
Addresses
Primary practice location
405 W Country Club Rd
Roswell, NM 88201-5209
Mailing address
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 624-4663
Other practice location 1
2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 226-6400
Other practice location 2
603 W Country Club Rd
Roswell, NM 88201
Phone (575) 624-0400
Other practice location 3
300 W Country Club Rd Ste 220
Roswell, NM 88201-5240
Phone (575) 624-4663
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eric.cohen.1@1610.direct.athenahealth.com | ||
| Direct Messaging Address | eric.cohen.1@1610.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 622-8170
601 W Country Club Rd
Suite 101
Roswell, NM 88201-5227
Phone (575) 622-8170
Hospital & facility affiliations
- Eastern New Mexico Medical Center
- Artesia General Hospital
- Carlsbad Medical Center
- Lovelace Regional Hospital - Roswell
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 25 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14308 | AL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verde Valley Medical Center | Current | Accepting new patients | |
| Roswell Clinic Corp | Current | Accepting new patients | |
| Verde Valley Medical Center | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Internal Medicine | Current | Accepting new patients |
| Roswell Clinic Corp | Internal Medicine | Current | Accepting new patients |
| Flagstaff Medical Center | Current | Accepting new patients | |
| Flagstaff Medical Center | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Flagstaff Medical Center | Current | Accepting new patients | |
| Lechee Health Facility | Internal Medicine | Current | Accepting new patients |
| Cardiovascular Associates of North Alabama, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Brookwood Diagnostic Imaging Center, LLC | Past | Accepting new patients | |
| Heart South Cardiovascular Group, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Southlake Orthopaedics Sports Medicine and Spine Center, PC | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
450 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-7991
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 201
Flagstaff, AZ 86001
Phone (520) 214-3920
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051
300 W Country Club Rd
Ste 220
Roswell, NM 88201
Phone (505) 625-1292
350 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-1841
405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170
601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170
603 W Country Club Rd
Roswell, NM 88201
Phone (505) 627-4014
Interoperability endpoints
- eric.cohen.1@1610.direct.athenahealth.com
Organizations & group practices 15
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.
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
dba Tuba City Indian Medical Center
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Internal Medicine, TX
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
dba Eastern Plains Urology
- Durable Medical Equipment & Medical Supplies
- Roswell, NM
- NPI 1396958633
-
dba Flagstaff Pharmacy
- Community/Retail Pharmacy
- Flagstaff, AZ
- NPI 1649348442
-
dba FMC Behavioral Health Services
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
dba Bodaway Gap Clinic
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
dba Northern Arizona Healthcare - Sedona
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
-
- Radiology Clinic/Center
- Birmingham, AL
- NPI 1538520721
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
dba Carlsbad Medical Center - Rehab
- Rehabilitation Hospital Unit
- Carlsbad, NM
- NPI 1114949781
-
dba Carlsbad Medical Center
- General Acute Care Hospital
- Carlsbad, NM
- NPI 1790722346
-
dba Lovelace Regional Hospital-Roswell
- General Acute Care Hospital
- Roswell, NM
- NPI 1972878361
-
dba Eastern New Mexico Medical Center
- General Acute Care Hospital
- Roswell, NM
- NPI 1447221742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1720065188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-624-4663",
"fax_number": "575-624-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W COUNTRY CLUB RD",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015209",
"telephone_number": "575-624-4663",
"fax_number": "575-624-4907"
}
],
"practiceLocations": [
{
"address_1": "2000 S Thompson St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "86001",
"country_code": "US",
"telephone_number": "928-226-6400",
"fax_number": "928-226-6410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 W Country Club Rd",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "88201",
"country_code": "US",
"telephone_number": "575-624-0400",
"fax_number": "575-623-1702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 W Country Club Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882015240",
"country_code": "US",
"telephone_number": "575-624-4663",
"fax_number": "575-624-4907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "ERIC",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AZ",
"license": "32942",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "14308",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AZ",
"license": "32942",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NM",
"license": "MD2019-0764",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NM",
"license": "MD2019-0764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.cohen.1@1610.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "300 W Country Club Rd Ste 220",
"city": "Roswell",
"state": "NM",
"country_code": "US",
"postal_code": "882015240",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.cohen.1@1610.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "405 W Country Club Rd",
"city": "Roswell",
"state": "NM",
"country_code": "US",
"postal_code": "882015209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.