Thomas R Coughlin Jr., MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2005020196 Issued in MO

Practice address

1509 W Truman Rd
Emergency Department
Independence, MO 64050-3436

Phone

(913) 469-4244

Fax

(913) 469-1939

NPI assigned

Nov 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Golden Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Clinton, MO
  • NPI 1306814306
  NPD (past)

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174505580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662010838",
            "telephone_number": "913-469-4244",
            "fax_number": "913-469-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W TRUMAN RD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503436",
            "telephone_number": "913-469-4244",
            "fax_number": "913-469-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2005020196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Costanza
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Michael L Cottrell, DDS
• Lauren Covell
• Paul Christopher Cowan, MD
• Ira Lee Cox III, MD
• Jessica Marie Cox, MSW, LMSW
• Kylee Cox, OTR

• Emergency Medicine Physician in Independence, MO
• Providers in Independence, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.