Jefferydon Lee Coon, D. O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-9674 Issued in AR

Practice address

2801 Medical Center Dr
Pocahontas, AR 72455-9436

Phone

(870) 892-6000

NPI assigned

Apr 27, 2011

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, MO2 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 2

Specialty

Internal Medicine

Education

Lincoln Memorial University Medical Department, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dexter Hospital, LLCGroup PAC ID 6507834579, 16 clinicians

Southeast Health Center of Stoddard County LLCGroup PAC ID 7315192515, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
• Crossridge Community Hospital Hospital, Wynne, AR, CCN 041307
• St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779
• Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23407/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeffrey_coon_md@yourcarecommunity.org
• Direct secure messaging: jefferydon.coon.1@23407.direct.athenahealth.com

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.

• Spring River Clinic, LLC

  • Primary Care Clinic/Center
  • Imboden, AR
  • NPI 1598356982

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812
  Medicare reassignment Care Compare group NPD
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Baxter Health Fulton County Hospital

  • Emergency Medicine Physician
  • Salem, AR
  • NPI 1841038825
  Medicare reassignment NPD
• Fulton County Hospital

  • Emergency Medicine Physician
  • Salem, AR
  • NPI 1831274612
  Medicare reassignment NPD
• St Bernard Community Hospital Corporation

  • Critical Access Hospital
  • Wynne, AR
  • NPI 1962410183
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR

  Medicare reassignment NPD
• Baxter Health Fulton County Hospital

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1952132946
  NPD
• Fulton County Hospital

  • Critical Access Hospital
  • Salem, AR
  • NPI 1265407001
  NPD
• Southeast Health Center of Stoddard County LLC

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567

  Internal Medicine

  NPD
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baxter Health Fulton County Hospital

  • Critical Access Hospital
  • Salem, AR
  • NPI 1376391177
  Care Compare affiliation
• Five Rivers Medical Center Inc.

  • General Acute Care Hospital
  • Pocahontas, AR
  • NPI 1528360989
  Care Compare affiliation
• St Bernard Community Hospital Corporation

  • Critical Access Hospital
  • Wynne, AR
  • NPI 1962410183
  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation
• Southeast Health Center of Stoddard County, LLC

  • General Acute Care Hospital
  • Dexter, MO
  • NPI 1801990825
  Care Compare affiliation

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1376834101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "JEFFERYDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-9674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS PHARMACIST LICENSE",
            "identifier": "PD09494",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAL LICENSE",
            "identifier": "E-9674",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City Pharmacy Inc
• Teresa Michelle Clark
• Alicia Cline
• Judith Ann Collier, BACHELORS
• Mackenzie Taylor Collier
• Christie Beth Couch, MCD, CCC-SLP
• Ashley Morgan Counts
• Alexandria Gray Cox
• Amanda Cox, PTA
• Kimberly Nicole Crouch, COTA/L

• Internal Medicine Physician in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.

Verify at the official NPI Registry.