NPIMap

Individual provider Active NPI

J Clifton Coffey, MD

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1013045913
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20836 Issued in OK
Practice address
1900 W 2ND St
Suite C
Elk City, OK 73644-4328
Phone
(580) 225-9222
Fax
(580) 225-1027
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 20836 OK
Family Medicine Physician 207Q00000X 20836 OK Primary

Addresses

Primary practice location

1900 W 2ND St
Suite C
Elk City, OK 73644-4328

Mailing address

1900 W 2ND St Ste C
Elk City, OK 73644-4328
Phone (580) 225-9222

Other identifiers 5

IdentifierTypeStateIssuer
37D0963547OtherOKCLIA WAIVER ID
20836OtherOKMEDICAL LICENSE
100136650AMedicaidOK
100136650CMedicaidOK
731568328OtherOKTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000214 OK Practitioner - Family Practice 9234162132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 W 2ND St
Suite C
Elk City, OK 73644-4328
Phone (580) 225-9222

Hospital & facility affiliations

  • Elk City Comforting Hands Hospice LLC Hospice, Elk City, OK, CCN 371698
  • Great Plains Regional Medical Center Hospital, Elk City, OK, CCN 370019
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20836OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J Coffey MD PC Family Medicine CurrentSince Jul 20, 1999 Accepting new patients
Summit Medical Center Past Accepting new patients
Farmers Union Hospital Association Past Accepting new patients
Emergency Services of Kansas, PA Family Medicine Past Accepting new patients

Locations

1900 W 2nd St
Ste C
Elk City, OK 73644
Phone (580) 225-9222

1901 W 3rd St
Elk City, OK 73644
Phone (580) 225-1086

1901 W 3rd St
Ste C
Elk City, OK 73644
Phone (580) 225-9222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IICICA/Endpoint/IICICA

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Great Plains Regional Medical CenterElk City, OK, CCN 370019 Hospital Corporate Director Oct 1, 2011
Great Plains Regional Medical CenterElk City, OK, CCN 37S019 Hospital Corporate Director Oct 1, 2011
Great Plalins Regional Medical CenterElk City, OK, CCN 37U019 Hospital Corporate Director Oct 1, 2011
Great Plains Regional Medical CenterElk City, OK, CCN 37T019 Hospital Corporate Director Oct 1, 2011
Great Plains Home CareElk City, OK, CCN 377418 Home health agency Corporate Director Dec 1, 2007
Great Plains Regional Medical CenterElk City, OK, CCN 378524 Rural health clinic Corporate Director Oct 1, 2011
Great Plains Regional Medical CenterElk City, OK, CCN 378526 Rural health clinic Corporate Director Oct 1, 2011

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1013045913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 2ND ST STE C",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444328",
            "telephone_number": "580-225-9222",
            "fax_number": "866-835-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 2ND ST",
            "address_2": "SUITE C",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444328",
            "telephone_number": "580-225-9222",
            "fax_number": "580-225-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "J",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OK",
            "license": "20836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER ID",
            "identifier": "37D0963547",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20836",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136650A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136650C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "731568328",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.