DR. MARK LITTON COGBURN (NPI# 1164788691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164788691 |
| Entity Type | Individual |
| Full Name | DR. MARK LITTON COGBURN |
| Credential | M.D. |
| Practice Address |
4802 10th Avenue Maimonides Medical Center Brooklyn NY 11219 |
| Practice Telephone | 7182836000 |
| Mailing Telephone | 7182836000 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2018-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 56158 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952458713 | Mark Alan Cogburn | Counselor | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2007-01-04 |
| Street Address |
4802 10TH AVENUE MAIMONIDES MEDICAL CENTER |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746646 | Lawrence Shevlin | Internal Medicine | 4802 10th Avenue, Attn: Mail Room, Brooklyn, NY 11219 | 2005-11-07 |
| 1609371954 | Ogochukwu Okoli | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2018-03-28 |
| 1124542253 | Shaurya Sharma | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-07-31 |
| 1366963431 | Karis Buford | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-06-29 |
| 1932635000 | Shelly Uppal | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219-1671 | 2017-05-10 |
| 1104352871 | Patria T. Gerardo Arroyo | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-05-02 |
| 1821523846 | Howard Brent | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-27 |
| 1982139853 | Josephine E.w. Gathura | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-27 |
| 1285169383 | Maria Abramov | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-26 |
| 1285169490 | Joseph Aaron Gotesman | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1174951602 | Alex Shteynshlyuger Md PC | Urology | 35 Seacoast Ter Apt 20p, Brooklyn, NY 11235-6005 | 2013-10-18 |
| 1396171542 | Igor Sergeyev, M.d., P.C. | Urology | 9101 4th Ave Ste 2f, Brooklyn, NY 11209-6369 | 2013-09-19 |
| 1255685582 | Hamilton Medical Surgicare Pllc | Urology | 4720 Fort Hamilton Pkwy, Brooklyn, NY 11219-2956 | 2012-11-08 |
| 1922379353 | Eric J. Moskowitz | Urology | 3131 Kings Hwy Ste Ll-789, Brooklyn, NY 11234 | 2012-01-17 |
| 1598064966 | Metropolitan Urological Specialists, PC | Urology | 2060 Utica Ave, Brooklyn, NY 11234-3216 | 2011-03-24 |
| 1407182389 | Jb Wynberg Md PC | Urology | 1853 61st St, Brooklyn, NY 11204-2353 | 2009-10-27 |
| 1518290188 | Marc Alan Lubin | Urology | 745 64th St, 4th Flr, Brooklyn, NY 11220-4753 | 2009-09-14 |
| 1750556403 | S. Swamy Surasi, Mdpc | Urology | 142 Joralemon St Ste 9b, Brooklyn, Brooklyn, NY 11201-4709 | 2008-04-24 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.