NPIMap

Organization Active NPI

Cohen Podiatry Clinic

Doing business as Cohen Podiatry Clinic Laurel

  • Podiatric Clinic/Center
  • Laurel, MS
National Provider Identifier
1942848635
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
COHEN PODIATRY CLINIC
Doing business as
Cohen Podiatry Clinic Laurel
Practice address
136 S 15TH Ave
Laurel, MS 39440-4124
Phone
(601) 649-6866
Fax
(601) 649-6828
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COHEN PODIATRY CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Authorized official

Name
Dr. Edward Robert Cohen, DPMNPI 1255338760
Title
Dr. Edward R. Cohen
Phone
(228) 832-4475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

136 S 15TH Ave
Laurel, MS 39440-4124

Mailing address

12056 Mobile Ave
Gulfport, MS 39503-3004
Phone (228) 832-4475

Other names 1

  • Cohen Podiatry Clinic Laurel Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edward R Cohen DPM6 organizations share this tax ID, including this one
Part of
Edward R Cohen DPM

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1942848635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12056 MOBILE AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033004",
            "telephone_number": "228-832-4475",
            "fax_number": "228-832-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404124",
            "telephone_number": "601-649-6866",
            "fax_number": "601-649-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN PODIATRY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COHEN PODIATRY CLINICS",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "DR. EDWARD R. COHEN",
        "authorized_official_telephone_number": "228-832-4475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cohen Podiatry Clinic Laurel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.