Active NPI
Zachary Joseph Coffman, M.D.
- Pediatric Critical Care Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME145837
- Practice address
- 1000 Blythe Blvd Ste 500
Charlotte, NC 28203-5812 - Phone
- (704) 373-1813
- NPI assigned
- Mar 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME145837 | FL | |
| Pediatrics Physician | 208000000X | 321914 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME145837 | FL | Primary |
| Pediatric Cardiology Physician | 2080P0202X | ME145837 | FL | |
| Pediatric Cardiology Physician | 2080P0202X | 321914 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 321914 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1000 Blythe Blvd Ste 500
Charlotte, NC 28203-5812
Mailing address
1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5863
Phone (704) 373-1813
Other practice location 1
501 6th Ave S
St Petersburg, FL 33701-4634
Phone (864) 884-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145837 | FL | MD | Pediatric Critical Care Medicine Physician |
| 321914 | NC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physician Services, Inc. | Pediatrics | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc. | Pediatric Cardiology | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429
501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060
1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100
1000 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 373-1813
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
Interoperability endpoints
- zcoffman742218@direct.hopkinsmedicine.org
- zcoffman2889103@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1770532798
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Vascular Surgery Physician
- Charlotte, NC
- NPI 1881624807
Pediatric Cardiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1508109364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035863",
"telephone_number": "704-373-1813",
"fax_number": "704-342-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-373-1813"
}
],
"practiceLocations": [
{
"address_1": "501 6th Ave S",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014634",
"country_code": "US",
"telephone_number": "864-884-5910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFMAN",
"first_name": "ZACHARY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-30",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME145837",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "321914",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME145837",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME145837",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NC",
"license": "321914",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "321914",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.