Active NPI
Penny L Cosner, LMT
- Specialist
- Rogue River, OR
National Provider Identifier
1861647794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9633
- Practice address
- 112 E Main St
Rogue River, OR 97537-9419 - Phone
- (541) 582-3522
- Fax
- (541) 582-4556
- NPI assigned
- Nov 19, 2008
- Last updated
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9633 | OR | Primary |
Addresses
Primary practice location
112 E Main St
Rogue River, OR 97537-9419
Mailing address
PO Box 1573
Rogue River, OR 97537-1573
Phone (541) 582-3522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9633 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1861647794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1573",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975371573",
"telephone_number": "541-582-3522",
"fax_number": "541-582-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E MAIN ST",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "975379419",
"telephone_number": "541-582-3522",
"fax_number": "541-582-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSNER",
"first_name": "PENNY",
"middle_name": "L",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "9633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogue River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.