Active NPI
Coral Molina, DO
- Family Medicine Physician
- Bolivar, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2024015222
- Practice address
- 1500 N Oakland Ave
Bolivar, MO 65613-3099 - Phone
- (417) 326-6000
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL83525 | SC | |
| Family Medicine Physician | 207Q00000X | 2024015222 | MO | Primary |
Addresses
Primary practice location
1500 N Oakland Ave
Bolivar, MO 65613-3099
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3099
Other practice location 1
853 N. Church Street
Suite 510
Spartanburg, SC 29303
Phone (864) 560-6193
Other practice location 2
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-9597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL83525 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Family Medicine | Current | Accepting new patients |
| Citizens Memorial Healthcare | Current | Accepting new patients | |
| Citizens Memorial Healthcare | Family Medicine | Current | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201
7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Family Medicine
-
- Rural Health Clinic/Center
- Willard, MO
- NPI 1568127397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1407433360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133099",
"telephone_number": "417-326-6000"
}
],
"practiceLocations": [
{
"address_1": "853 N. Church Street",
"address_2": "Suite 510",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "29303",
"country_code": "US",
"telephone_number": "864-560-6193",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-9597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLINA",
"first_name": "CORAL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL83525",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2024015222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.