# AMY COGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083147102
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085008955 | IL | — |
| 363A00000X | Physician Assistant | 50.005054RX | OH | — |
| 363A00000X | Physician Assistant | PA9117662 | FL | Yes |
| 363AS0400X | Surgical Physician Assistant | 10004787A | IN | — |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 08/12/2026