Organization Active NPI

Jerome a Cohn, DPM, PC

  • Podiatrist
  • Goodyear, AZ
National Provider Identifier
1740420264
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
JEROME A COHN, DPM, PC
Practice address
13555 W McDowell Rd Ste 301
Goodyear, AZ 85395-2629
Phone
(602) 848-0123
NPI assigned
Feb 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Dr. Jerome A Cohn, DPM
Title
Ceo
Phone
(602) 948-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 301
Goodyear, AZ 85395-2629

Mailing address

13555 W McDowell Rd Ste 301
Goodyear, AZ 85395-2629
Phone (602) 848-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100399 AZ DME Supplier - Physician - Podiatry 6709863814 Practice locations: Goodyear, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

13555 W McDowell Rd
Ste 301
Goodyear, AZ 85395
Phone (623) 848-0123

5432 E Southern Ave
Ste 101B
Mesa, AZ 85206
Phone (480) 210-3336

4550 N 51st Ave
Ste 21
Phoenix, AZ 85031
Phone (602) 848-0123

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/11c92883-3ba8-4054-8136-467108df0876/

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1740420264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 301",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "602-848-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 301",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952629",
            "telephone_number": "602-848-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME A COHN, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-948-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.