Active NPI
Carmen a Coiscou MD PA
- Hospitalist Physician
- Bradenton, FL
National Provider Identifier
1073765855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME94475
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277343100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.