Michael R Cohan, D.O.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

032-0000517 Issued in VT

Practice address

17 Belmont Ave
Att'N: Marilyn Boudreau
Brattleboro, VT 05301-6613

Phone

(802) 257-8382

Fax

(802) 251-8466

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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.

• Southern Vermont Health Services Corp

  • General Practice Physician
  • Brattleboro, VT
  • NPI 1952319220
  NPD (past)
• Cardiology Consultants of Philadelphia, P.C.

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1649272386

  Cardiovascular Disease

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992818611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8382",
            "fax_number": "802-251-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BELMONT AVE",
            "address_2": "ATT'N: MARILYN BOUDREAU",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016613",
            "telephone_number": "802-257-8382",
            "fax_number": "802-251-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHAN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VT",
            "license": "032-0000517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "68513",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011302",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khalila Cliche
• Clifford B. Langweiler MD PC
• Carl Justice Clinton
• Clyde a. Newton MD PC
• John B Cochran, LCMHC
• David Bruce Cohen, M.A.
• Ellen Cohen, M.D.
• Marc Cohen, M.A.
• Jennifer Elizabeth Coke, MA LCMHC
• Loren Sara Cole, LICSW

• All providers in Brattleboro, VT
• Cardiovascular Disease Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.