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NPI Code Detail

MEDICARE: COGENT MEDICAL CARE PC

MEDICARE: COGENT MEDICAL CARE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner
2208M00000XHospitalist Physician
3363A00000XPhysician Assistant
4207Q00000XFamily Medicine Physician
5207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912941238
Entity Type Code : Organization
Provider Name (Legal Business Name) : COGENT MEDICAL CARE PC
Provider Business Mailing Address
First Line : 5410 MARYLAND WAY
Second Line : SUITE 300
City : BRENTWOOD
State : TN
Zip : 37027-5064
Country : US
Telephone Number : 615-377-5670
Fax Number : 615-377-1687
Provider Business Practice Location Address
First Line : 101 HOSPITAL RD
Second Line :
City : EAST PATCHOGUE
State : NY
Zip : 11772-4870
Country : US
Telephone Number : 631-687-4131
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : LAURA FALL
Credential :
Telephone Number : 253-682-6040
Provider Enumeration Date : 06/16/2006
Last Update Date : 03/07/2025

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Directions to “COGENT MEDICAL CARE PC ” Practice Location

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