Organization Active NPI

Lloyd a. Coaker, MD, PC

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1467905273
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
11272 Issued in AZ
Legal business name
LLOYD A. COAKER, MD, PC
Practice address
1775 W Saint Marys Rd
Suite 114
Tucson, AZ 85745-2696
Phone
(520) 792-2908
Fax
(520) 624-6876
NPI assigned
Jul 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Authorized official

Name
Dr. Lloyd A. Coaker, MDNPI 1851368443
Title
President / Director
Phone
(520) 792-2908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 11272 AZ Primary

Addresses

Primary practice location

1775 W Saint Marys Rd
Suite 114
Tucson, AZ 85745-2696

Mailing address

PO Box 35760
Tucson, AZ 85740-5760
Phone (520) 722-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161018001584 AZ Part B Supplier - Clinic/Group Practice 0042508418 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

1775 W Saint Marys Rd
Ste 114
Tucson, AZ 85745
Phone (520) 792-2908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1467905273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35760",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857405760",
            "telephone_number": "520-722-0777",
            "fax_number": "520-290-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 W SAINT MARYS RD",
            "address_2": "SUITE 114",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452696",
            "telephone_number": "520-792-2908",
            "fax_number": "520-624-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD A. COAKER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "COAKER",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "520-792-2908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "11272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.