Provider Demographics
NPI:1578521183
Name:COHEN, STEVEN IRVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:IRVIN
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 COLLYER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-1869
Mailing Address - Country:US
Mailing Address - Phone:401-272-7799
Mailing Address - Fax:401-272-9299
Practice Address - Street 1:195 COLLYER ST STE 201
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1869
Practice Address - Country:US
Practice Address - Phone:401-272-7799
Practice Address - Fax:401-272-9299
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI5102208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI10059OtherNEIGHBORHOOD HEALTH PLAN
RI27125OtherHARVARD PILGRIM HEALTH CA
RIUU04337OtherMEDICAID GROUP NUMBER
RI005102OtherTUFTS
RI0004673110OtherAETNA
RI000476OtherBLUE CHIP
RI0415093OtherCIGNA
RI340008043OtherRAILROAD MEDICARE
RI1900145OtherUNITED HEALTH CARE
RI25692OtherBLUE CROSS BLUE SHIELD RI
RI3490011061OtherMEDICARE PTAN
RI349005986OtherMEDICARE GROUP PTAN
RI007002897Medicare ID - Type Unspecified
RI0322310001Medicare NSC