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1578541280

NPI Code Detail

MEDICARE: DR. MICHAEL KEITH COHEN M.D.

MEDICARE: DR. MICHAEL KEITH COHEN M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	44557	CO
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	295018-1205	UT
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	16964	ME
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	87267	OH
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME95722	FL
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35155	AZ
7	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	C52368	CA
8	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	057294	GA
9	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	13615	HI
10	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	12989	NH
11	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	25MA08045000	NJ
12	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	238618-1	NY
13	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD428953	PA
14	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	H9856	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1578541280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL KEITH COHEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MEDICAL PKWY
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78738-5621
Country	:	US
Telephone Number	:	512-654-5000
Fax Number	:

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	10/28/2022

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Directions to “ DR. MICHAEL KEITH COHEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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