Organization Active NPI

Michael a, Coffey MD PA

  • Obstetrics & Gynecology Physician
  • Port Charlotte, FL
National Provider Identifier
1215260534
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0052053 Issued in FL
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Mr. Michael Coffey, MDNPI 1164417671
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
257805100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.