EILEEN M COHEN (NPI# 1013979731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013979731 |
Entity Type | Individual |
Full Name | EILEEN M COHEN |
Credential | PA-C |
Practice Address |
632 Del Prado Blvd N Ste 101 Cape Coral FL 33909-2278 |
Mailing Address |
12700 Creekside Ln Ste 101 Fort Myers FL 33919-3356 |
Practice Telephone | 2394320774 |
Practice Fax Number | 2394329404 |
Mailing Telephone | 2394320774 |
Mailing Fax Number | 2394329404 |
Enumeration Date | 2006-04-06 |
Last Update Date | 2018-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101411 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | PA LICENSE | PA9101411 | 01 |
FL | 291064100 | 05 | |
FL | MEDICAID RR | 970019944 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
12700 Creekside Ln Ste 101, Fort Myers, FL 339193356 | 2394320774 | 2394329404 |
Street Address |
632 DEL PRADO BLVD N STE 101 |
City | CAPE CORAL |
State | FL |
Zip Code | 33909-2278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003878877 | Wesley H. Faunce IIi | Neurological Surgery | 632 Del Prado Blvd N, Suite 101, Cape Coral, FL 33909-2278 | 2006-04-05 |
1215333943 | Thomas Donato Pino | Physician Assistant | 632 Del Prado Blvd N, Cape Coral, FL 33909-2278 | 2014-11-06 |
1750799037 | Andrea Cambio Md Pl | Dermatology | 632 Del Prado Blvd N, Suite 201, Cape Coral, FL 33909-2278 | 2014-07-30 |
1417198219 | Delicia Garner | Physician Assistant | 632 Del Prado Blvd N, Ste 201, Cape Coral, FL 33909-2278 | 2009-03-09 |
1609015924 | Stephanie Ann Distel | Physical Therapy Assistant | 632 Del Prado Blvd N, Suite 101, Cape Coral, FL 33909-2253 | 2009-02-10 |
1891953303 | Leavitt Medical Associates of Florida Inc | Dermatology | 632 Del Prado Blvd N, Suite 201, Cape Coral, FL 33909-2278 | 2008-05-30 |
1497881692 | Enrique Ruiz | Physician Assistant | 632 Del Prado Blvd N, Ste 201, Cape Coral, FL 33909-2278 | 2007-02-24 |
1659334050 | Robert D. Mehrberg | Physical Medicine & Rehabilitation | 632 Del Prado Blvd N, Suite 101, Cape Coral, FL 33909-2278 | 2006-04-08 |
1851354179 | Donald J. Moyer | Neurological Surgery | 632 Del Prado Blvd N, Suite 101, Cape Coral, FL 33909-2278 | 2006-04-08 |
1104889534 | Sypert Institute Pa | Neurological Surgery | 632 Del Prado Blvd N, Suite 101, Cape Coral, FL 33909-2278 | 2006-04-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417433970 | Vicky Doreen Duhaime | Nurse Practitioner | 636 Delprado Blvd South, Cape Coral, FL 33909 | 2018-07-17 |
1639562416 | Kimberly Caggiano | Physical Therapy Assistant | 2113 Ne 4th Ave, Cape Coral, FL 33909 | 2015-03-18 |
1669861027 | Jerkita Mcclorin | Case Manager/Care Coordinator | 409 Ne 11th Place, Cape Coral, FL 33909 | 2015-01-22 |
1033527361 | Jhony R Espinoza | Dentist | 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 | 2014-07-30 |
1568738581 | Arcadia Nursing Home Inc | Home Health | 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 | 2012-03-23 |
1689731762 | Lanie Soriano Benzon | Physical Therapist | 523 E Cape Coral Pkwy, Cape Coral, FL 33909 | 2007-01-02 |
1790840676 | One Price Optical | Optometrist | 325 North Del Prado, Cape Coral, FL 33909 | 2006-12-22 |
1801969282 | Jerry Todd Mcclaran | Dentist | 2688 Sunset Lake Drive, Cape Coral, FL 33909 | 2006-11-15 |
1891805651 | Edward Joseph Hope | Physical Therapy Assistant | 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 | 2006-08-30 |
1972577906 | Misty Dawn Green | Chiropractor | 1224 Alabar Ln, Cape Coral, FL 33909 | 2006-02-15 |
Find all providers in zip 33909 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285007732 | Julian Ferreira | Physician Assistant | 4539 Sw 6th Pl, Cape Coral, FL 33914-6419 | 2015-11-05 |
1386701399 | Timothy Grabowski | Physician Assistant | 2721 Del Prado Blvd S Ste 250, Cape Coral, FL 33904-5710 | 2007-01-02 |
1386606366 | Danny R Beitelschies | Physician Assistant | 1206 Country Club Blvd, Cape Coral, FL 33990-2180 | 2006-04-05 |
1639314636 | Alison Jean Hobson | Physician Assistant | 636 Del Prado Blvd S, #103, Cape Coral, FL 33990-2668 | 2008-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
Find all providers with the same taxonomy |
City | CAPE CORAL |
Zip Code | 33909 |
Please comment or provide details below to improve the information on EILEEN M COHEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.