Individual provider Active NPI

Michael R Coe, MD

  • Orthopaedic Hand Surgery Physician
  • Bend, OR
National Provider Identifier
1295730802
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD18258 Issued in OR
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

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
057666MedicaidOR
MD18258OtherOROBME

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcoe1580438@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100929000975 OR Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5890730014
I20210302001952 WA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5890730014 Reassigns benefits to 1 organization
I20210623003955 HI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5890730014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians

Practice addresses (Care Compare)

16528 E Desmet CT
Suite B3100
Spokane Valley, WA 99216-3522
Phone (509) 944-9440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD15003HIMDOrthopaedic Hand Surgery Physician
MD00029203WAMDOrthopaedic Hand Surgery Physician
18258ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivey Plastic Surgery LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

411 Huku Lii Pl
Ste 303
Kihei, HI 96753
Phone (808) 866-5330

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.