Active NPI
Jerome a Cohn DPM PC
- Podiatrist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- JEROME A COHN DPM PC
- Practice address
- 13555 W McDowell Rd
Suite 301
Goodyear, AZ 85395-2629 - Phone
- (623) 848-0123
- Fax
- (623) 848-1153
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel T. Bowen II, MD
- Title
- Owner/Physician
- Phone
- (623) 848-0123
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
13555 W McDowell Rd
Suite 301
Goodyear, AZ 85395-2629
Mailing address
13555 W McDowell Rd
Ste 301
Goodyear, AZ 85395-2629
Phone (623) 848-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040706001119 | AZ | Part B Supplier - Clinic/Group Practice | 6709863814 |
Receives reassigned benefits from 2 practitioners 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 DirectoryLocations
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
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Goodyear, AZ
- NPI 1831340736
-
- Foot & Ankle Surgery Podiatrist
- Mesa, AZ
- NPI 1104267780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458086400000",
"number": "1760413421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13555 W MCDOWELL RD",
"address_2": "STE 301",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952629",
"telephone_number": "623-848-0123",
"fax_number": "623-848-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 W MCDOWELL RD",
"address_2": "SUITE 301",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952629",
"telephone_number": "623-848-0123",
"fax_number": "623-848-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEROME A COHN DPM PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2016-03-16",
"status": "A",
"authorized_official_last_name": "BOWEN",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "623-848-0123",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 16, 2016; 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.