Coffeyville Orthopaedics, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

31291 Issued in KS

Legal business name

COFFEYVILLE ORTHOPAEDICS, PA

Practice address

1501 W 4TH St
Coffeyville, KS 67337-3307

Phone

(620) 251-3838

Fax

(620) 251-0736

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maxime Jean-Marie Coles, M.D.NPI 1578560207

Title

President

Phone

(620) 251-3838

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maxime Jean-Marie Coles, M.D.

  • Orthopaedic Surgery Physician
  • Coffeyville, KS
  • NPI 1578560207

  Orthopaedic Surgery

  NPD (past) Authorized official
• Meggin Marie Blex, A.R.N.P.

  • Family Medicine Physician
  • Coffeyville, KS
  • NPI 1467412940
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124157631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373307",
            "telephone_number": "620-251-3838",
            "fax_number": "620-251-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEYVILLE ORTHOPAEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "MAXIME",
        "authorized_official_middle_name": "JEAN-MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-251-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "31291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Coffeyville, KS
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.