DR. NICOLE MOMBERG COHEN (NPI# 1689993081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689993081 |
| Entity Type | Individual |
| Full Name | DR. NICOLE MOMBERG COHEN |
| Credential | MD, MBA, MSMS |
| Practice Address |
6602 Waters Ave Bldg A Savannah GA 31406 |
| Mailing Address |
6602 Waters Ave Bldg A Savannah GA 31406-2778 |
| Practice Telephone | 9123506000 |
| Practice Fax Number | 9123506001 |
| Mailing Telephone | 9123506000 |
| Mailing Fax Number | 9123506001 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 070362 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GA1547 | 05 | |
| GA | 003136114A | 05 | |
| GA | RAILROAD MEDICARE | P01198997 | 01 |
| GA | 003136114B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4425 Paulsen St, Bldg A, 1st Floor, Savannah, GA 314053662 | 9123506000 | 9123506001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1780959635 | Nicole J Cohen | Pediatrics | 1600 Clifton Rd Ne # Msc-01, Atlanta, GA 30329-4018 | 2012-03-11 |
| 1164072229 | Nicole Cohen | Social Worker | 313 S 16th St, Philadelphia, PA 19102-4908 | 2019-09-19 |
| 1497212484 | Nicole Cohen | Physician Assistant | 711 Canton Rd Ne Ste 300, Marietta, GA 30060-8949 | 2019-02-26 |
| 1376999656 | Nicole Cohen | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2016-05-05 |
| 1801920152 | Nicole Cohen | Nurse Practitioner | 10833 Le Conte Ave, Box 951738, Los Angeles, CA 90095-1738 | 2007-03-16 |
| 1750424792 | Nicole Elizabeth Cohen | Physical Therapist | 5677 Oberlin Dr, Suite 106, San Diego, CA 92121-1740 | 2007-02-15 |
| 1528075306 | Nicole Althea Cohen | Nurse Practitioner | 5839 E Washington St, Indianapolis, IN 46219-6560 | 2006-08-02 |
| Street Address |
6602 WATERS AVE BLDG A |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857127 | Wilfredo Vergara Dolor | Internal Medicine | 6602 Waters Ave Bldg A, Savannah, GA 31406-2778 | 2005-11-10 |
| 1255542361 | John Holland Moore | Internal Medicine | 6602 Waters Ave Bldg A, Savannah, GA 31406 | 2007-05-24 |
| 1265472823 | Thomas J. Hogan Jr. | Internal Medicine | 6602 Waters Ave Bldg A, Savannah, GA 31406 | 2006-06-08 |
| 1538109665 | Stephen B. Malone | Internal Medicine | 6602 Waters Ave Bldg A, Savannah, GA 31406-2778 | 2006-06-07 |
| 1588602262 | Peggy L. Byck | Internal Medicine | 6602 Waters Ave Bldg A, Savannah, GA 31406-2778 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518351857 | R & R Fitness,llc | Internal Medicine | 400 Mall Blvd Ste C, Savannah, GA 31406-4873 | 2015-03-25 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1144516162 | Charles Adam Mccoy | Internal Medicine | 11700 Mercy Blvd Ste 5, Savannah, GA 31419-1753 | 2011-06-28 |
| 1114245529 | Elizabeth Sue Neufeld | Internal Medicine | 1 Castlebrook Retreat, Savannah, GA 31411 | 2010-05-10 |
| 1336466366 | Walter Bowden Jr. | Internal Medicine | 6510 Seawright Dr, Savannah, GA 31406-2752 | 2010-04-30 |
| 1922235548 | Frederick Debele Maner | Internal Medicine | 308 Bradley Point Rd, Savannah, GA 31410-3507 | 2009-06-22 |
| 1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
| 1508017542 | Healthy Family PC | Internal Medicine | 705 E 65th St, Savannah, GA 31405-4408 | 2008-10-08 |
| 1851586747 | Georg Laemmerhirt | Internal Medicine | 800 E 68th St, Savannah, GA 31405-4710 | 2007-09-13 |
| 1487849253 | Ne Win | Internal Medicine | 4700 Waters Ave S, Mhumc Memorial Health Im Edu, Savannah, GA 31404 | 2007-09-13 |
| Find all providers in SAVANNAH | ||||
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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.