Provider Demographics
NPI:1386667871
Name:COHEN, JOEL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:LEE
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5340 S QUEBEC ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1909
Mailing Address - Country:US
Mailing Address - Phone:303-756-7546
Mailing Address - Fax:303-756-7547
Practice Address - Street 1:5340 S QUEBEC ST STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1909
Practice Address - Country:US
Practice Address - Phone:303-756-7546
Practice Address - Fax:303-756-7547
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39913207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO200683363-01OtherPACIFICARE
CO7569266OtherAETNA
CO93151578Medicaid
CO20683363002OtherROCKY MOUNTAIN HEALTH PLN
COCO654116OtherANTHEM
C528188OtherMEDICARE ID
COCO654116OtherANTHEM