COHEN PODIATRY CLINICS (NPI# 1346888096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346888096 |
| Entity Type | Organization |
| Organization Name | COHEN PODIATRY CLINICS |
| Practice Address |
7530 Highway 57 Vancleave MS 39565-6512 |
| Mailing Address |
12056 Mobile Ave Gulfport MS 39503-3004 |
| Practice Telephone | 2288724900 |
| Practice Fax Number | 2288720803 |
| Mailing Telephone | 2288324475 |
| Mailing Fax Number | 2288321512 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | DR. EDWARD ROBERT COHEN (DR. EDWARD R. COHEN) |
| Authorized Official Telephone | 2288324475 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | COHEN PODIATRY CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cohen Podiatry Clinic Gautier | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831376508 | Cohen Podiatry Clinics | Clinic/Center | 12056 Mobile Ave, Gulfport, MS 39503-3004 | 2008-01-24 |
| Street Address |
7530 HIGHWAY 57 |
| City | VANCLEAVE |
| State | MS |
| Zip Code | 39565-6512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761950 | Jake Wallace Carzoli | Nurse Practitioner | 11700 Ms-57, Vancleave, MS 39565 | 2018-02-22 |
| 1992129316 | Ashlynn Evan Crum | Speech-Language Pathologist | 8728 Doobie Ct., Vancleave, MS 39565 | 2014-02-05 |
| 1851695720 | Coast Nurse Practitioners, Inc. | Nurse Practitioner | 13300 R.s. Kimball Road, Vancleave, MS 39565 | 2011-01-06 |
| 1538484761 | Sarah Burke | Speech-Language Pathologist | 477 Colonel Vickrey Road, Vancleave, MS 39565 | 2010-03-31 |
| 1194058842 | Jackson County School District | Local Education Agency (LEA) | 4700 Colonel Vickrey Road, Vancleave, MS 39565 | 2009-09-14 |
| 1962566224 | John Michael Martin | Nurse Practitioner | 1330 R S Kimball, Vancleave, MS 39565 | 2006-12-21 |
| 1619919156 | Lennon E. Bowen Iv | Psychiatry & Neurology | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2006-06-11 |
| 1396233490 | Dorian R Blake | Nurse Practitioner | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2018-04-25 |
| 1164971867 | Clarissa Picard | Occupational Therapist | 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 | 2016-09-23 |
| 1629427174 | Amanda Rayburn | Registered Nurse | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565 | 2016-06-06 |
| Find all providers in zip 39565 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585003 | Cohen Podiatry Clinic | Clinic/Center | 905 Hardy St, Hattiesburg, MS 39401-4163 | 2019-12-13 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1073557799 | Prime Foot Care, Pllc | Clinic/Center | 9065 Sandidge Center Cove, Ste C, Olive Branch, MS 38654-3574 | 2006-06-15 |
| 1942848635 | Cohen Podiatry Clinic | Clinic/Center | 136 S 15th Ave, Laurel, MS 39440-4124 | 2019-12-13 |
| 1063865343 | Wjl Podiatry Clinic LLC | Clinic/Center | 953 North St, Jackson, MS 39202-2615 | 2016-07-21 |
| 1962689042 | Delta Foot Clinics, Inc | Clinic/Center | 1814 Mission 66, Vicksburg, MS 39180-3710 | 2008-01-30 |
| 1831376508 | Cohen Podiatry Clinics | Clinic/Center | 12056 Mobile Ave, Gulfport, MS 39503-3004 | 2008-01-24 |
Please comment or provide details below to improve the information on COHEN PODIATRY CLINICS.
| 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.