Ellen Elizabeth Coats, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME120695 Issued in FL

Practice address

8990 Navarre Pkwy
Navarre, FL 32566-2216

Phone

(850) 396-0108

Fax

(850) 939-4933

NPI assigned

Jun 15, 2008

Sex

Female

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

Other names 1

• Ellen Elizabeth Peterman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1467612259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662216",
            "telephone_number": "850-396-0108",
            "fax_number": "850-939-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662216",
            "telephone_number": "850-396-0108",
            "fax_number": "850-939-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14Y3D",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013909900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "PETERMAN",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanne Clark
• Jennifer Ford Clark, FNP
• Sarah Mae Clark
• Kalli Donaway Clement
• Coastal Vascular and Interventional PLLC
• Taylor Collins
• Comfortable Care Dental Health Professionals, P.a. (The Center for Cosmetic & Family Dentistry - Navarre)
• Kristen Commander
• Comprehensive Home Care of North West Florida
• Garnett Cook, APRN

• Internal Medicine Physician in Navarre, FL
• Providers in Navarre, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.