NPIMap

Organization Active NPI

Andrew H Cohen DPM PC

  • Podiatrist
  • Saginaw, MI
National Provider Identifier
1770538449
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901001545 Issued in MI
Legal business name
ANDREW H COHEN DPM PC
Practice address
4224 State St
Saginaw, MI 48603-4025
Phone
(989) 790-8009
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Andrew H Cohen, DPMNPI 1902845290
Title
Owner
Phone
(989) 790-8009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 5901001545 MI Primary

Addresses

Primary practice location

4224 State St
Saginaw, MI 48603-4025

Mailing address

4224 State St
Saginaw, MI 48603-4025
Phone (989) 790-8009

Other identifiers 1

IdentifierTypeStateIssuer
3012337MedicaidMI

Other names 1

  • MID MICHIGAN FOOT & ANKLE CENTER Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040723001260 MI Part B Supplier - Clinic/Group Practice 3072593565 Receives reassigned benefits from 7 practitioners
Practice locations: Bay City, MI; Saginaw, MI
O20100930100030 MI DME Supplier - Physician - Podiatry 3072593565 Practice locations: Saginaw, MI

National Provider Directory

National Provider Directory

Locations

3720 Katalin Ct
Bay City, MI 48706
Phone (989) 391-9223

Practitioners & affiliated clinicians

Practitioners 11

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1770538449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034025",
            "telephone_number": "989-790-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034025",
            "telephone_number": "989-790-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW H COHEN DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-790-8009",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012337",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID MICHIGAN FOOT & ANKLE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.