David A Coburn, MD
Individual provider Active NPI Specialist · Delta, CO
NPI 1487674875 · NPPES record last updated Jul 30, 2021
Key facts
- NPI
- 1487674875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 17871 (CO)
- Practice address
- 1501 E 3Rd St
Delta, CO 81416-2815 - Phone
- (970) 874-2417
- Fax
- (970) 874-6491
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1501 E 3Rd St
Delta, CO 81416-2815
Hospital & facility affiliations
- Delta County Memorial Hospital
- Glenwood Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000459 | CO | Practitioner - Pulmonary Disease | 5294768842 | Reassigns benefits to 1 organization |
| I20090312000445 | LA | Practitioner - Pulmonary Disease |
5294768842 |
Reassigns benefits to 2 organizations Practice locations: Monroe, LA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17871 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Physician Group of Louisiana Inc | Current |
Accepting new patients | |
| Delta County Memorial Hospital | Current | Accepting new patients | |
| Hsa Louisiana Physician Group Inc | Specialist | Current |
Accepting new patients |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Delta County Memorial Hospital | Internal Medicine | Current |
Accepting new patients |
| Valley View Hospital Association | Internal Medicine | Current | Accepting new patients |
| Physician Group of Louisiana Inc | Current |
Accepting new patients | |
| Delta County Memorial Hospital | Current |
Accepting new patients | |
| Valley View Hospital Association | Current |
Accepting new patients | |
| Pathology Assoc of the Roaring Fork | Current | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients |
Locations
1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668
1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
711 N Taylor St
Ste 200
Gunnison, CO 81230
Phone (970) 240-1020
230 Hotchkiss Ave
Hotchkiss, CO 81419
Phone (970) 872-1400
503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475
503 McMillan Rd
Fl 3
West Monroe, LA 71291
Phone (318) 329-4300
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17871 | CO | Yes |
Addresses
Primary practice location
1501 E 3Rd St
Delta, CO 81416-2815
Mailing address
PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-2470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01348416 | Medicaid | CO |
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.