Individual provider Active NPI

Daniel Francis Coonce, MD

  • Radiological Physics Physician
  • Cookeville, TN
National Provider Identifier
1598798902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
License
MD9993 Issued in TN
Practice address
315 N Washington Ave
Suite 103
Cookeville, TN 38501-2603
Phone
(931) 528-2443
Fax
(931) 528-1488
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics Physician 2085R0205X MD9993 TN Primary

Addresses

Primary practice location

315 N Washington Ave
Suite 103
Cookeville, TN 38501-2603

Mailing address

315 N Washington Ave Ste 103
Cookeville, TN 38501-2623
Phone (931) 528-2443

Other identifiers 2

IdentifierTypeStateIssuer
3134538OtherTNTN BCBS
3035368MedicaidTN

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD9993TNMDRadiological Physics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Diagnostic Imaging, LLC CurrentSince Dec 1, 1999 Accepting new patients
FRG Kentucky PSC Radiological Physics Past Accepting new patients
FRG Central PA PC Past Accepting new patients
Radcare of Tennessee PC Past Accepting new patients
Tennessee Radiology Associates, PLLC PastSince Jun 1, 2012 Accepting new patients

Locations

315 N Washington Ave
Ste 1
Cookeville, TN 38501
Phone (931) 528-1800

315 N Washington Ave
Ste 103
Cookeville, TN 38501
Phone (931) 528-1800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598798902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE STE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012623",
            "telephone_number": "931-528-2443",
            "fax_number": "931-528-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N WASHINGTON AVE",
            "address_2": "SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012603",
            "telephone_number": "931-528-2443",
            "fax_number": "931-528-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONCE",
        "first_name": "DANIEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "TN",
            "license": "MD9993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BCBS",
            "identifier": "3134538",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3035368",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.