Individual provider Active NPI

David Coon, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Las Vegas, NV
National Provider Identifier
1508979295
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
13113 Issued in NV
Practice address
7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4337
Phone
(877) 562-5227
Fax
(702) 938-9954
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A88126 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 13358 HI
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 13113 NV Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 37873 AZ

Addresses

Primary practice location

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4337

Mailing address

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4337
Phone (877) 562-5227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080911000003 AZ Practitioner - Pathology 9234168469 Reassigns benefits to 1 organization
I20090725000026 NV Practitioner - Pathology 9234168469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Hawaii John a. Burns School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Medicine Consultants LTDGroup PAC ID 4183617533, 26 clinicians

Practice addresses (Care Compare)

7455 W Washington Ave
Las Vegas, NV 89128-4337
Phone (702) 732-3441

7455 W Washington Ave
Suite 301
Las Vegas, NV 89128-4340

Hospital & facility affiliations

  • Mountainview Hospital Hospital, Las Vegas, NV, CCN 290039
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041
  • Southern Hills Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290047
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37873AZMDAnatomic Pathology & Clinical Pathology Physician
A88126CAMDAnatomic Pathology & Clinical Pathology Physician
13358HIMDAnatomic Pathology & Clinical Pathology Physician
13113NVMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Medicine Consultants LTD CurrentSince Apr 15, 2009 Accepting new patients
Laboratory Medicine Consultants LTD Anatomic Pathology & Clinical Pathology CurrentSince Apr 15, 2009 Accepting new patients
Scripps Health Current Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
San Diego Pathologists Medical Group Inc Anatomic Pathology & Clinical Pathology PastSince Jun 1, 2017 Accepting new patients
Clinical Laboratories of Hawaii LLP Past Accepting new patients

Locations

2500 Canyon Rd
Ste D1
Bullhead City, AZ 86442
Phone (602) 698-5800

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

File 749203
Los Angeles, CA 90074

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

3059 S Maryland Pkwy
Ste 100
Las Vegas, NV 89109
Phone (702) 732-3441

7455 W Washington Ave
Las Vegas, NV 89128
Phone (702) 425-0978

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

7455 W Washington Ave
Ste 301
Las Vegas, NV 89128
Phone (702) 732-3441

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

Interoperability endpoints

  • Direct secure messaging: dcoon34884@scrippshlth.medalliesdirect.net
  • Direct secure messaging: baz8749@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1508979295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "SUITE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "877-562-5227",
            "fax_number": "702-938-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W WASHINGTON AVE",
            "address_2": "SUITE 301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284337",
            "telephone_number": "877-562-5227",
            "fax_number": "702-938-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A88126",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "HI",
            "license": "13358",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "13113",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "37873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.