Provider Demographics
NPI:1831145085
Name:COHEN, DENNIS S (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:S
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 1:5855 BREMO RD
Mailing Address - Street 2:SUITE 506
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1926
Mailing Address - Country:US
Mailing Address - Phone:804-285-3225
Mailing Address - Fax:804-285-0360
Practice Address - Street 1:5855 BREMO RD
Practice Address - Street 2:SUITE 506
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1926
Practice Address - Country:US
Practice Address - Phone:804-285-3225
Practice Address - Fax:804-285-0360
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049708208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7312679OtherOPTIMA
VA020052259OtherHUMANA GOLD
VA288122OtherBC/BS
VA36368OtherCARENET
VA7312679Medicaid
VA020052259OtherSECURE HORIZONS
VA17001289OtherUNITED HEALTHCARE
VA184482OtherSOUTHERN HEALTH
VA7945385OtherAETNA
VA020052259OtherOPTIMA MEDICARE
VAC06695OtherGROUP PTAN
VA250250OtherMAMSI,MDIPA,OPTIMUM CHOIC
VA541267736OtherCIGNA
VA541267736OtherCOMMERCIAL
VA7312679OtherVA PREMIER
VA250250OtherMAMSI,MDIPA,OPTIMUM CHOIC
VA7312679Medicaid
VA541267736OtherCIGNA
VA020052259OtherSECURE HORIZONS
VA184482OtherSOUTHERN HEALTH
VA020052259Medicare PIN