Daniel Coachi, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD066378L Issued in PA

Practice address

1603 E Wadsworth Ave
Philadelphia, PA 19150-1019

Phone

(215) 242-2439

Fax

(215) 242-2596

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Emergency Physician Associates of Pennsylvania, PC

  • Emergency Medicine Physician
  • Hanover, PA
  • NPI 1619990900
  NPD (past)
• Lock Haven Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Lock Haven, PA
  • NPI 1710201322
  NPD (past)
• New Jersey/Pennsylvania Em-1 Medical Services, P.C.

  • Emergency Medicine Physician
  • Sunbury, PA
  • NPI 1255455903
  NPD (past)
• Roxborough Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1538250477
  NPD (past)
• Shikellamy Emergency Physicians

  • Emergency Medicine Physician
  • Sunbury, PA
  • NPI 1588613186
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1245222991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 E WADSWORTH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501019",
            "telephone_number": "215-242-2439",
            "fax_number": "215-242-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 E WADSWORTH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501019",
            "telephone_number": "215-242-2439",
            "fax_number": "215-242-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COACHI",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD066378L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD066378L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "341418",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "815012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001786320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930089957",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Arthur Clyman, DDS
• CMF Medical PLLC
• CMP Medical LLC
• Co-Mhar Inc.
• Co-Mhar Inc.
• Coast Anesthesia Practice PC
• Ja'Mes Bobby Coates
• Jaimee Lynn Coates, CCC-SLP
• Kiersten Coates, RD
• Barbara Coaxum

• Emergency Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.