Coy Randolph Matthews, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-44067 Issued in KS

Practice address

100 W Ross Blvd Ste 1B
Dodge City, KS 67801-7217

Phone

(620) 371-5576

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmatthews@goshenmedical.cloudcraftdirect.com
• Direct secure messaging: cmatthews@crhn.cernerdirect.com

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.

• Goshen Medical Center, Incorporated

  dba Goshen Medical Center - Duplin

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Commonspirit Kansas, Inc.

  • Family Medicine Physician
  • Dodge City, KS
  • NPI 1205549821
  NPD (past)
• Commonspirit Kansas, Inc.

  • Pediatrics Physician
  • Dodge City, KS
  • NPI 1356054977
  NPD (past)
• Goshen Medical Center Incorporated

  dba Goshen Medical Center - Mount Olive Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Mount Olive, NC
  • NPI 1700901287
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1528028149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST",
            "address_2": "SUITE 116",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723702",
            "telephone_number": "910-642-2642",
            "fax_number": "910-642-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W ROSS BLVD STE 1B",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017217",
            "telephone_number": "620-371-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Jefferson St",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723710",
            "country_code": "US",
            "telephone_number": "910-642-2642",
            "fax_number": "910-642-3346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "COY",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "36388",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-44067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Malcor-Johnson, M.S. CCC-SLP
• Billy D Manning, PHD
• Martha Jane Marples, CRNA
• Donald W Marshall
• Terry A Martin, CRNA
• Timmey M McClure Jr., LPC
• James Steven McCrery, R.PH
• Richard Irl McFadden, DDS
• Timothy Ray McMann, DDS
• Sarah McMillan, OTA

• Pediatrics Physician in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.

Verify at the official NPI Registry.