Marion P. Coffelt III, 1ST ASSIST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

1532 Lone Oak Rd
Suite 445
Paducah, KY 42003-7913

Phone

(270) 538-5830

Fax

(270) 538-5835

NPI assigned

Jun 3, 2009

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1194951202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 445",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-538-5830",
            "fax_number": "270-538-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LONE OAK RD",
            "address_2": "SUITE 445",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037913",
            "telephone_number": "270-538-5830",
            "fax_number": "270-538-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFELT",
        "first_name": "MARION",
        "middle_name": "P.",
        "name_suffix": "III",
        "credential": "1ST ASSIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Earl Clymer, D.M.D.
• Katharine Dawson Coale, PMHNP
• Tanya Christine Cobb, APRN
• Penelope Diane Cockrel, PT
• Bethany M Cockrum
• Alan J Colburn Jr.
• Chelsea Cole, FNP
• Kandice Renee Cole, APRN FNP-C
• Edward Joseph Coleman, M.D.
• John Anthony Colgan Jr., D.M.D

• Surgical Technologist in Paducah, KY
• Providers in Paducah, KY by specialty
• Surgical Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.