MEDICARE: MARK A COHEN MD

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
1	207ND0101X	MOHS-Micrographic Surgery Physician	ME83523	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30690048	OTHER	MO	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	48882	OTHER	FL	BLUE CROSS

General Provider Information

NPI Number	:	1194785485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK A COHEN MD

Provider Business Mailing Address
First Line	:	3700 W 64TH ST
Second Line	:
City	:	MISSION HILLS
State	:	KS
Zip	:	66208-1710
Country	:	US
Telephone Number	:	786-281-3827
Fax Number	:

Provider Business Practice Location Address
First Line	:	8656 N AMBASSADOR DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64154-2558
Country	:	US
Telephone Number	:	816-584-8100
Fax Number	:	816-584-8106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	11/02/2023

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Directions to “ MARK A COHEN MD” Practice Location

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