NPIMap

Individual provider Active NPI

Deborah L Coates, DO

  • Pain Medicine (Anesthesiology) Physician
  • Dayton, OH
National Provider Identifier
1124123419
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
34.003893 Issued in OH
Practice address
1074 Patterson Rd
Dayton, OH 45420-1522
Phone
(937) 254-3988
Fax
(937) 254-1005
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 34003893 OH
Pain Medicine (Anesthesiology) Physician 207LP2900X 34.003893 OH Primary

Addresses

Primary practice location

1074 Patterson Rd
Dayton, OH 45420-1522

Mailing address

1074 Patterson Rd
Dayton, OH 45420-1522
Phone (937) 254-3988

Other identifiers 2

IdentifierTypeStateIssuer
0673614MedicaidOH
P00348846OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.003893OHMDPain Medicine (Anesthesiology) Physician
34003893OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Fayette Medical Center Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Pain Medicine Past Accepting new patients
Fayette County Memorial Hospital Past Accepting new patients
Tri-County Pain Consultants PC Pain Medicine Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1124123419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201522",
            "telephone_number": "937-254-3988",
            "fax_number": "937-254-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PATTERSON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201522",
            "telephone_number": "937-254-3988",
            "fax_number": "937-254-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "34003893",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "34.003893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673614",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00348846",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.