Michael E Coghlan, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

17128 Issued in AL

Practice address

Columbus AFB 14TH Medical Group 201 Independence Drive
Columbus, MS 39710-0001

Phone

(662) 434-2273

NPI assigned

Jun 30, 2006

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Infectious Disease Associates, PC

  • Infectious Disease Physician
  • Birmingham, AL
  • NPI 1841245602
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1649209180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14TH MEDICAL GROUP 201 INDEPENDENCE DRIVE",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397100001",
            "telephone_number": "662-434-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLUMBUS AFB 14TH MEDICAL GROUP 201 INDEPENDENCE DRIVE",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397100001",
            "telephone_number": "662-434-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "17128",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "AL",
            "license": "17128",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "AL",
            "license": "17128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111729",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miraculas Clemons
• Sarah Cliett
• Cluster Assistance Care
• Berrell L Cobb
• Tanya Cockrell, FNP
• Shannon Coker, PMHNP-BC
• Thomas O Coker, CRNA
• Col Management LLC (Imaging Center of Columbus LLC)
• Col Management, LLC (Tomography Center of Columbus, LLC)
• Daphne Nicole Coleman, OTR

• Aerospace Medicine Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Aerospace Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.