Individual provider Active NPI

Michael John Kohrman, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Daphne, AL
National Provider Identifier
1811044282
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD.29617 Issued in AL
Practice address
26211 Equity Dr
Suite a
Daphne, AL 36526-6189
Phone
(251) 626-0901
Fax
(251) 626-0902
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 35.057402 OH
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD034146E PA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 01052338A IN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 100056 FL
Physical Medicine & Rehabilitation Physician 208100000X MD R8G18 MO
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD.29617 AL Primary

Addresses

Primary practice location

26211 Equity Dr
Suite a
Daphne, AL 36526-6189

Mailing address

7802 Delta Woods Dr
Bay Minette, AL 36507-8167
Phone (251) 626-0901

Other identifiers 11

IdentifierTypeStateIssuer
43145208700OtherOHOH WORKERS' COMP
51049505OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
000000033788OtherOHANTHEM PROVIDER NUMBER
0739106MedicaidOH
111544MedicaidAL
12519002OtherFLUNITED HEALTHCARE
4412474OtherOHAETNA PROVIDER NUMBER
16250OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
060005763OtherOHRAIL ROAD MEDICARE NUMBER
12519002OtherOHUNITED HEALTHCARE
ME100056OtherFLFL WORKERS' COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090817000046 AL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 3971654336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD R8G18MOMDPhysical Medicine & Rehabilitation Physician
MD.29617ALMDPain Medicine (Physical Medicine & Rehabilitation) Physician
ME 100056FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician
01052338AINMDPain Medicine (Physical Medicine & Rehabilitation) Physician
35.057402OHMDPain Medicine (Physical Medicine & Rehabilitation) Physician
MD034146EPAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1811044282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 DELTA WOODS DR",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365078167",
            "telephone_number": "251-626-0901",
            "fax_number": "251-626-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26211 EQUITY DR",
            "address_2": "SUITE A",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266189",
            "telephone_number": "251-626-0901",
            "fax_number": "251-626-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHRMAN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "35.057402",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD034146E",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01052338A",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 100056",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "MD R8G18",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "MD.29617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH WORKERS' COMP",
            "identifier": "43145208700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51049505",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000033788",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739106",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "12519002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4412474",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "16250",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE NUMBER",
            "identifier": "060005763",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "12519002",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL WORKERS' COMP",
            "identifier": "ME100056",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.