Active NPI
Michael a, Coffey MD PA
- Obstetrics & Gynecology Physician
- Port Charlotte, FL
National Provider Identifier
1215260534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0052053
- Legal business name
- MICHAEL A, COFFEY MD PA
- Practice address
- 2400 Harbor Blvd
Suite 14
Port Charlotte, FL 33952-5052 - Phone
- (941) 766-4777
- Fax
- (941) 766-4778
- NPI assigned
- Sep 18, 2009
- Last updated
- Sep 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Coffey, MD
- Title
- President
- Phone
- (941) 766-4777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0052053 | FL | Primary |
Addresses
Primary practice location
2400 Harbor Blvd
Suite 14
Port Charlotte, FL 33952-5052
Mailing address
2400 Harbor Blvd
Suite 14
Port Charlotte, FL 33952-5052
Phone (941) 766-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257805100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Port Charlotte, FL
- NPI 1164417671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253232000000",
"number": "1215260534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 HARBOR BLVD",
"address_2": "SUITE 14",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525052",
"telephone_number": "941-766-4777",
"fax_number": "941-766-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HARBOR BLVD",
"address_2": "SUITE 14",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525052",
"telephone_number": "941-766-4777",
"fax_number": "941-766-4778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A, COFFEY MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A",
"authorized_official_last_name": "COFFEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-766-4777",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0052053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257805100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
- Metro Treatment of Florida, LP (New Season Treatment Center 30)
- Tetyana Metyk, MD
- Alla Mezhevaya, RDMS, RVT, RDCS
- MG Port Charlotte I Subtenant LLC (Truewood by Merrill, Port Charlotte)
- MG Port Charlotte II Subtenant LLC (Truewood by Merrill, Charlotte Center)
- Michael D Mozzetti MD PL (Express Care Medical Cinic)
- Michael R Harper DDS PA
- Michael T. McCormick & Associates PA
- Natalie Middlebrooks, LMT
- Midisc, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.