Active NPI
Michael John Kohrman, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Daphne, AL
National Provider Identifier
1811044282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MD.29617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43145208700 | Other | OH | OH WORKERS' COMP |
| 51049505 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 000000033788 | Other | OH | ANTHEM PROVIDER NUMBER |
| 0739106 | Medicaid | OH | |
| 111544 | Medicaid | AL | |
| 12519002 | Other | FL | UNITED HEALTHCARE |
| 4412474 | Other | OH | AETNA PROVIDER NUMBER |
| 16250 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| 060005763 | Other | OH | RAIL ROAD MEDICARE NUMBER |
| 12519002 | Other | OH | UNITED HEALTHCARE |
| ME100056 | Other | FL | FL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090817000046 | AL | Practitioner - Physical Medicine and Rehabilitation | 3971654336 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD R8G18 | MO | MD | Physical Medicine & Rehabilitation Physician |
| MD.29617 | AL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| ME 100056 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 01052338A | IN | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 35.057402 | OH | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| MD034146E | PA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1669536645
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.