Charles Grannis Coffey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44970-020 Issued in WI

Practice address

819 Ash St
Spooner, WI 54801-1201

Phone

(715) 635-2111

Fax

(715) 635-8674

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Sanford Health Network

  dba Sanford Canby Medical Center

  • Critical Access Hospital
  • Canby, MN
  • NPI 1780781054
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033158019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E PATTON ST",
            "address_2": "PO BOX 368",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "629381050",
            "telephone_number": "877-593-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 ASH ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548011201",
            "telephone_number": "715-635-2111",
            "fax_number": "715-635-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "CHARLES",
        "middle_name": "GRANNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "44970-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Ballantine Brown Jr., MD
• Jill Renee Butkus, OTR/L
• Stephen John Carlson, M.D.
• Bryce Carroll, DDS
• Joshua Carroll, DDS
• Comprehensive Foot & Ankle, SC
• Julia M Corcoran
• County of Washburn
• Darren D Cox
• David K & Ellen Schmitz, Inc (Schmitz's Economart Pharmacy)

• Family Medicine Physician in Spooner, WI
• Providers in Spooner, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.