Active NPI
Stanton J Cohen, DPM
- Podiatrist
- Yuma, AZ
National Provider Identifier
1871506436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 115
- Practice address
- 1743 W 24TH St
Yuma, AZ 85364 - Phone
- (928) 726-9650
- Fax
- (928) 726-1605
- NPI assigned
- Aug 14, 2006
- Last updated
- May 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 115 | AZ | Primary |
Addresses
Primary practice location
1743 W 24TH St
Yuma, AZ 85364
Mailing address
1743 W 24TH St
Yuma, AZ 85364
Phone (928) 726-9650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480627603 | Other | AZ | RR INDIVIDUAL # |
| 700189 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanton J Cohen DPM PC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1871506436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-726-9650",
"fax_number": "928-726-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-726-9650",
"fax_number": "928-726-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "STANTON",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR INDIVIDUAL #",
"identifier": "480627603",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700189",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
- Manacey Clermont, PA-C
- Delisa S Clifton, PT, DPT
- Brandon Coats
- Jennifer Lynn Coen, RN
- Shawn Paul Cogswell, HIS
- Colleen J. Speidell NP PLC
- Collet Masillamoni, DDS (Dental Clinic of Yuma)
- Colorado River Behavioral Health System (Transitional Living Center Recovery)
- Colorado River Behavioral Health System, LLC (Tortuga Recovery Community Center)
- Geovana Colosio, LISAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.