Individual provider Active NPI

Stephen D Cohle, MD

  • Forensic Pathology Physician
  • Grandville, MI
National Provider Identifier
1922094754
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
4301044823 Issued in MI
Practice address
2990 Franklin Ave SW
Grandville, MI 49418-3505
Phone
(616) 530-3344
Fax
(616) 532-8040
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 4301044823 MI
Forensic Pathology Physician 207ZF0201X 4301044823 MI Primary

Addresses

Primary practice location

2990 Franklin Ave SW
Grandville, MI 49418-3505

Mailing address

PO Box 936
Grandville, MI 49468-0936
Phone (616) 530-3344

Other identifiers 2

IdentifierTypeStateIssuer
4485071MedicaidMI
4485062MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101112000359 MI Practitioner - Pathology 7517152846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Missouri, Columbia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Pathology Specialists PCGroup PAC ID 4789576414, 31 clinicians

Practice addresses (Care Compare)

100 Michigan NE
Spectrum Butterworth
Grand Rapids, MI 49503-2560
Phone (616) 267-2660

35 Michigan St NE
Spectrum Health Reg Laboratory
Grand Rapids, MI 49503-2514
Phone (616) 267-2350

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals Current Accepting new patients
Michigan Pathology Specialists PC CurrentSince Jan 1, 2003 Accepting new patients

Locations

2515 Momentum Pl
Chicago, IL 60689

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

2332 Alpine Ave NW
Grand Rapids, MI 49544
Phone (616) 363-3311

35 Michigan St NE
Ste MC56
Grand Rapids, MI 49503

145 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 486-5700

2990 Franklin Ave SW
Grandville, MI 49418
Phone (616) 530-3344

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212

8333 Felch St
Ste 1
Zeeland, MI 49464

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1922094754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494680936",
            "telephone_number": "616-530-3344",
            "fax_number": "616-532-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 FRANKLIN AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183505",
            "telephone_number": "616-530-3344",
            "fax_number": "616-532-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHLE",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MI",
            "license": "4301044823",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "MI",
            "license": "4301044823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4485071",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4485062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.