Cobbler Station Internists

Primary specialty

SpecialistTaxonomy code 174400000X

License

01044505A Issued in IN

Legal business name

COBBLER STATION INTERNISTS

Practice address

5130 Charlestown Rd Ste 1
Suite 1
New Albany, IN 47150-9483

Phone

(812) 949-0140

Fax

(812) 949-0279

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Syed Q Kazmi, M.D.

Title

President

Phone

(812) 949-0140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1902005812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD",
            "address_2": "SUITE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "812-949-0140",
            "fax_number": "812-949-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CHARLESTOWN RD STE 1",
            "address_2": "SUITE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509483",
            "telephone_number": "812-949-0140",
            "fax_number": "812-949-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLER STATION INTERNISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-949-0140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01044505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Clayton, D.O.
• Cleanse Clinic Jeffersonville LLC
• Travis Edward Clegg, M.D.
• Tawana Coates, MD, MPH
• Cobbler Station Family Clinic
• Susan Kay Cochran, LCSW, CSW-G, ACSW
• Julia J Coddington, NPC
• Erin Coffey, RBT
• Tara Cofie, RBT
• Meagan Lee Coke, M.S. SLP

• Specialist in New Albany, IN
• Providers in New Albany, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.