Active NPI
Mitchell L Cohen, MD
- Gastroenterology Physician
- Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD00028854
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- Oct 17, 2005
- Last updated
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD00028854 | WA | Primary |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01428911 | Other | WA | RR MEDICARE |
| 1962491506 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Southern California Keck School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No. 1 | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Grays Harbor County Public Hospital District No 1 | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Past | Accepting new patients |
Locations
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
600 E Main St
Elma, WA 98541
Phone (360) 346-2222
200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222
820 Memorial St
Ste 3
Prosser, WA 99350
Phone (509) 786-5599
Organizations & group practices 7
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.
-
dba Prosser Memorial Health
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
dba Summit Pacific Medical Center
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
dba Summit Pacific Health Clinic
- Rural Health Clinic/Center
- Elma, WA
- NPI 1083202907
-
dba dba-McCleary Healthcare Clinic
- Rural Health Clinic/Center
- McCleary, WA
- NPI 1255401683
-
dba Prosser Memorial Hospital Swing CAH
- Critical Access Hospital
- Prosser, WA
- NPI 1013956259
-
dba Prosser Memorial Health Spine Clinic
- Specialist
- Walla Walla, WA
- NPI 1518770155
-
dba Benton City Clinic
- Rural Health Clinic/Center
- Benton City, WA
- NPI 1437199072
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prosser Memorial Health
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1962491506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MITCHELL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD00028854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01428911",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962491506",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.