W Patrick Coghlan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45121 Issued in MA

Practice address

101 Cole Ave
Bisbee, AZ 85603-1327

Phone

(520) 432-2042

Fax

(520) 432-2098

NPI assigned

Apr 6, 2006

Last updated

Jan 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pioneer Valley Cardiology Associates ,Inc.

  • Cardiovascular Disease Physician
  • Enfield, CT
  • NPI 1205214970
  NPD (past)
• Western Mass Medical Group, PC

  • Primary Care Clinic/Center
  • Springfield, MA
  • NPI 1447460654
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1366405995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLE AVE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031327",
            "telephone_number": "520-432-2042",
            "fax_number": "520-432-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLE AVE",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031327",
            "telephone_number": "520-432-2042",
            "fax_number": "520-432-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "W",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "45121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiricahua Community Health Centers, Inc (Chiricahua Community Health Centers, Inc - Bisbee)
• Chiricahua Community Health Centers, Inc. (Chiricahua Bisbee Pharmacy)
• City of Bisbee (Bisbee Fire Department)
• City of Bisbee Ambulance
• Cochise County
• Community Bridges, Inc. (Women's Transition Project)
• Community Intervention Associates, Inc. (Community Intervention Associates)
• Cheryl Dehaven, MA, LPC, NCC
• Arleene Evelynne Djordjevic, FNP
• Daniel Abram Driscoll, MD/PHD

• Internal Medicine Physician in Bisbee, AZ
• Providers in Bisbee, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.