Jesse Allen Coffey Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

HO254 Issued in TX

Practice address

3537 S I 35 E
Suite 301
Denton, TX 76210-6800

Phone

(940) 381-0885

Fax

(940) 380-0382

NPI assigned

Jan 11, 2007

Last updated

Feb 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Beautiful You Inc

  • Clinic/Center
  • Casper, WY
  • NPI 1255951455
  NPD
• Denton Pain Management Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Denton, TX
  • NPI 1598912115
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1528118460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 S I 35 E",
            "address_2": "SUITE 301",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106800",
            "telephone_number": "940-381-0885",
            "fax_number": "940-380-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S I 35 E",
            "address_2": "SUITE 301",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106800",
            "telephone_number": "940-381-0885",
            "fax_number": "940-380-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JESSE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "HO254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven W Coburn, O.D.
• Katy Irene Cochran, FNP
• Lois Ann Cockerell
• Code 3 Emergency Partners at Denton, LLC (Code 3 ER at Denton)
• Linda Jan Coffey Leal, LBSW, C-SWCM
• Karen Diane Cogan, PH.D.
• Connor I Cohen
• David Steven Cole Jr., RPH
• Lindsay Cole
• Madeline Elisabeth Cole

• Plastic Surgery Physician in Denton, TX
• Providers in Denton, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.