Organization Active NPI

Carmen a Coiscou MD PA

  • Hospitalist Physician
  • Bradenton, FL
National Provider Identifier
1073765855
Registry record updated Oct 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME94475 Issued in FL
Legal business name
CARMEN A COISCOU MD PA
Practice address
8330 Lakewood Ranch Blvd
Suite 320
Bradenton, FL 34202-5174
Phone
(941) 782-2100
Fax
(941) 706-2107
NPI assigned
Oct 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2008

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

Authorized official

Name
Dr. Carmen A Coiscou, MD
Title
Owner
Phone
(941) 782-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X ME94475 FL Primary

Addresses

Primary practice location

8330 Lakewood Ranch Blvd
Suite 320
Bradenton, FL 34202-5174

Mailing address

8330 Lakewood Ranch Blvd
Suite 320
Bradenton, FL 34202-5174
Phone (941) 782-2100

Other identifiers 1

IdentifierTypeStateIssuer
277343100MedicaidFL

National Provider Directory

National Provider Directory

Locations

8330 Lakewood Ranch Blvd
Ste 320
Lakewood Ranch, FL 34202
Phone (941) 782-2100

NPI Registry JSON

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

{
    "created_epoch": "1223683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223683200000",
    "number": "1073765855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 320",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025174",
            "telephone_number": "941-782-2100",
            "fax_number": "941-706-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LAKEWOOD RANCH BLVD",
            "address_2": "SUITE 320",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025174",
            "telephone_number": "941-782-2100",
            "fax_number": "941-706-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN A COISCOU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-11",
        "last_updated": "2008-10-11",
        "status": "A",
        "authorized_official_last_name": "COISCOU",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-782-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME94475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277343100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.