Individual
JAMIE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7255 OLD OAK BLVD STE C208, MIDDLEBURG HEIGHTS, OH 44130-3300
(440) 816-2708
(440) 243-8480
Mailing address
7255 OLD OAK BLVD STE C208, MIDDLEBURG HEIGHTS, OH 44130-3300
(440) 816-2708
(440) 243-8480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35086812
OH
207RI0011X
Interventional Cardiology Physician
Primary
35086812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376998
ANTHEM BLUE CROSS/BLUE SH
OH
01
—
1007514
QUALCHOICE
OH
05
—
2607674
—
OH
01
—
341487428
TAX ID
OH
01
—
4169371
RAILROAD MEDICARE
OH
01
—
7132734
AETNA
OH
01
—
P86812
SUMMACARE
OH
Enumeration date
07/07/2006
Last updated
12/11/2018
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