Active NPI
Jace Andrew Coon, DO
- Emergency Medicine Physician
- Weatherford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- U1656
- Practice address
- 713 E Anderson St
Weatherford, TX 76086-5705 - Phone
- (682) 582-1000
- NPI assigned
- Jun 11, 2019
- Last updated
- Dec 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5151013991 | MI | |
| Emergency Medicine Physician | 207P00000X | 5151013991 | MI | |
| Emergency Medicine Physician | 207P00000X | U1656 | TX | Primary |
Addresses
Primary practice location
713 E Anderson St
Weatherford, TX 76086-5705
Mailing address
713 E Anderson St
Weatherford, TX 76086-5705
Phone (682) 582-1000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcoon42877@direct.trinity-health.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U1656 | TX | MD | Emergency Medicine Physician |
| 5151013991 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Michigan Emergency Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Mercy Health Partners | Single Specialty | Current | Accepting new patients |
| Century Integrated Partners, Inc | Single Specialty | Current | Accepting new patients |
| Mercy Health Partners | Current | Accepting new patients | |
| Questcare Medical Services, PLLC | Single Specialty | Current | Accepting new patients |
Locations
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172
72 S State St
Shelby, MI 49455
Phone (231) 728-4601
905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050
3500 Gaston Ave
Dallas, TX 75246
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000
1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200
Interoperability endpoints
- jcoon42877@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
Single Specialty
-
- Emergency Medicine Physician
- Muskegon, MI
- NPI 1124574520
Single Specialty
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
Single Specialty
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
Single Specialty
-
dba Trinity Health Medical Group
- Family Medicine Physician
- Whitehall, MI
- NPI 1801208087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1114586443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 E ANDERSON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865705",
"telephone_number": "682-582-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 E ANDERSON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760865705",
"telephone_number": "682-582-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "JACE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5151013991",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5151013991",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "U1656",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcoon42877@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "Mercy Health Physician Partners",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "1500 E Sherman Blvd",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494441849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.