Provider Demographics
NPI:1598792095
Name:COHN, JAY NORMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:NORMAN
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:420 DELAWARE STREET SE, MMC 508
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-625-7924
Mailing Address - Fax:612-626-4411
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:516 DELAWARE STREET SE, PWB THIRD FLOOR, CLINIC 3B
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-625-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN21740207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1968669Medicaid
MN768068OtherARAZ
MN04-75092OtherMEDICA PRIMARY
MN1009077OtherPREFERRED ONE
ND10387Medicaid
MN25-01316OtherMEDICA CHOICE
SD7777470Medicaid
MN100772OtherUCARE
MN2T133COOtherBCBS
WI30202800Medicaid
MNHP22034OtherHEALTHPARTNERS
MN25-01316OtherMEDICA CHOICE