Active NPI
Donna Coffman, M.D.
- Personal Emergency Response Attendant
- Fenton, MO
National Provider Identifier
1508926437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- R1K10
- Practice address
- 508 Old Smizer Mill Rd
Fenton, MO 63026-3538 - Phone
- (636) 343-5223
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | R1K10 | MO | Primary |
Addresses
Primary practice location
508 Old Smizer Mill Rd
Fenton, MO 63026-3538
Mailing address
800 Bergquist Dr
Ballwin, MO 63011-4216
Phone (636) 386-3656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Past | Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Past | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508926437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BERGQUIST DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114216",
"telephone_number": "636-386-3656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 OLD SMIZER MILL RD",
"city": "FENTON",
"state": "MO",
"postal_code": "630263538",
"telephone_number": "636-343-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "DONNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "MO",
"license": "R1K10",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.