MEDICARE: DR. JAMES R 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	207R00000X	Internal Medicine Physician	13670	NV
2	207RX0202X	Medical Oncology Physician	13670	NV
3	207RH0003X	Hematology & Oncology Physician	13670	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290006202	OTHER	CA	RAILROAD RETIREMENT
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578557682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES R COHEN MD

Provider Business Mailing Address
First Line	:	780 KUENZLI ST
Second Line	:	SUITE 202
City	:	RENO
State	:	NV
Zip	:	89502-0845
Country	:	US
Telephone Number	:	775-982-5262
Fax Number	:	775-982-5496

Provider Business Practice Location Address
First Line	:	75 PRINGLE WAY
Second Line	:	SUITE 801
City	:	RENO
State	:	NV
Zip	:	89502-1464
Country	:	US
Telephone Number	:	775-982-2820
Fax Number	:	775-982-2821

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	02/26/2018

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