Active NPI
Michael R Coe, MD
- Orthopaedic Hand Surgery Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD18258
- Practice address
- 2200 NE Neff Rd
Ste 200
Bend, OR 97701-4281 - Phone
- (541) 382-3344
- Fax
- (541) 382-1681
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD15003 | HI | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD00029203 | WA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD18258 | OR | Primary |
Addresses
Primary practice location
2200 NE Neff Rd
Ste 200
Bend, OR 97701-4281
Mailing address
4049 NW Northcliff
Bend, OR 97703-8248
Phone (541) 419-4245
Other practice location 1
16528 E Desmet Ct
Spokane Valley, WA 99216-3522
Phone (509) 944-8920
Other practice location 2
820 S McClellan St Ste 300B
Spokane, WA 99204-2457
Phone (509) 838-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057666 | Medicaid | OR | |
| MD18258 | Other | OR | OBME |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcoe1580438@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Chicago College of Medicine and Surgery, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16528 E Desmet CT
Suite B3100
Spokane Valley, WA 99216-3522
Phone (509) 944-9440
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15003 | HI | MD | Orthopaedic Hand Surgery Physician |
| MD00029203 | WA | MD | Orthopaedic Hand Surgery Physician |
| 18258 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivey Plastic Surgery LLC | Current | Accepting new patients |
Locations
411 Huku Lii Pl
Ste 303
Kihei, HI 96753
Phone (808) 866-5330
Interoperability endpoints
- mcoe1580438@wm.providencedirect.org
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Plastic Surgery Physician
- Kihei, HI
- NPI 1205427861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636156800000",
"number": "1295730802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4049 NW NORTHCLIFF",
"city": "BEND",
"state": "OR",
"postal_code": "977038248",
"telephone_number": "541-419-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD",
"address_2": "STE 200",
"city": "BEND",
"state": "OR",
"postal_code": "977014281",
"telephone_number": "541-382-3344",
"fax_number": "541-382-1681"
}
],
"practiceLocations": [
{
"address_1": "16528 E Desmet Ct",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992163522",
"country_code": "US",
"telephone_number": "509-944-8920",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 S McClellan St Ste 300B",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042457",
"country_code": "US",
"telephone_number": "509-838-7100",
"fax_number": "509-838-0721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COE",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2021-11-06",
"certification_date": "2021-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "HI",
"license": "MD15003",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WA",
"license": "MD00029203",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "OR",
"license": "MD18258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057666",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OBME",
"identifier": "MD18258",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcoe1580438@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "820 S McClellan St Ste 300B",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992042457",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.