Vicki Lynn Coe, M.D

Individual provider Active NPI Anesthesiology Physician · Woodside, CA

NPI 1205976339 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205976339
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
G44117 (CA)
Practice address
223 Greer Rd
Woodside, CA 94062-4205
Phone
(650) 851-0702
Fax
(650) 851-5753
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44117CAMDPharmacist
G44117CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Anesthesia Medical Group Inc Anesthesiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G44117 CA Yes

Addresses

Primary practice location

223 Greer Rd
Woodside, CA 94062-4205

Mailing address

223 Greer Rd
Woodside, CA 94062-4205
Phone (650) 851-0702

Other providers in Woodside, CA

All providers in Woodside, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.