Individual provider Active NPI

Jace Andrew Coon, DO

  • Emergency Medicine Physician
  • Weatherford, TX
National Provider Identifier
1114586443
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U1656 Issued in TX
Practice address
713 E Anderson St
Weatherford, TX 76086-5705
Phone
(682) 582-1000
NPI assigned
Jun 11, 2019
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jcoon42877@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211011002225 MI Practitioner - Emergency Medicine 0840698544 Reassigns benefits to 1 organization
I20231004003189 TX Practitioner - Emergency Medicine 0840698544 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U1656TXMDEmergency Medicine Physician
5151013991MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Michigan Emergency Specialists, PLLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Mercy Health Partners Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Century Integrated Partners, Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Mercy Health Partners CurrentSince Oct 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.