JACKSON GEORGE COHEN (NPI# 1467770248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467770248 |
| Entity Type | Individual |
| Full Name | JACKSON GEORGE COHEN |
| Credential | M.D. |
| Practice Address |
3702 Washington St Ste 303 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9545182424 |
| Practice Fax Number | 9549813476 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME116519 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018258400 | 05 |
| Street Address |
3702 WASHINGTON ST STE 303 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867847 | Alan K Novick | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2005-08-09 |
| 1063073021 | Shama R Gresseau | Nurse Practitioner | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2019-06-21 |
| 1477039451 | Karinna O Vazquez | Psychologist | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2018-07-13 |
| 1134638935 | Alessandra Zapata | Nurse Practitioner | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2017-09-25 |
| 1356700892 | Ian Miller | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2016-02-12 |
| 1508253477 | Andrew Chang | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2015-04-18 |
| 1750726378 | South Broward Hospital District | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2013-05-09 |
| 1629347083 | Angie J Lastra | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2011-12-14 |
| 1225331531 | Jeremy Allen Jacobs | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2010-12-08 |
| 1437314465 | Kathleen Davenport | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2008-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528508090 | Blue Water Pain Solutions, Pa | Pain Medicine | 2 Oakwood Blvd, Suite 195, Hollywood, FL 33020-1960 | 2017-03-03 |
| 1043630254 | Leon Anijar | Pain Medicine | 3160 N 37th Ave, Hollywood, FL 33021-1346 | 2014-04-27 |
| 1861906612 | Morris Anthony Chemell | Pain Medicine | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2017-11-30 |
| 1386913002 | Ortho Florida, LLC | Pain Medicine | 4350 Sheridan St, Ste 102, Hollywood, FL 33021-3556 | 2011-12-27 |
| 1558690768 | Universal Medical Center Pllc | Pain Medicine | 3800 S Ocean Dr, G3, Hollywood, FL 33019-2927 | 2009-12-17 |
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|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
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| 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.