Organization Active NPI

Jamie P Coffey DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Gilbert, AZ
National Provider Identifier
1649710310
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
265 Issued in AZ
Legal business name
JAMIE P COFFEY DPM PC
Practice address
2550 E Guadalupe Rd
Suite 106
Gilbert, AZ 85234-5114
Phone
(480) 892-3180
Fax
(480) 892-1891
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Jamie P Coffey, DPMNPI 1801894654
Title
Owner
Phone
(480) 892-3180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 265 AZ Primary

Addresses

Primary practice location

2550 E Guadalupe Rd
Suite 106
Gilbert, AZ 85234-5114

Mailing address

2550 E Guadalupe Rd Ste 106
Gilbert, AZ 85234-5114
Phone (480) 892-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930032858 AZ DME Supplier - Physician - Podiatry 7517088503 Practice locations: Gilbert, AZ
O20170314001551 AZ Part B Supplier - Clinic/Group Practice 7517088503 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

2451 E Baseline Rd
Ste C230
Gilbert, AZ 85234
Phone (480) 892-3180

2550 E Guadalupe Rd
Ste 106
Gilbert, AZ 85234
Phone (480) 559-5306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1649710310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 E GUADALUPE RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345114",
            "telephone_number": "480-892-3180",
            "fax_number": "480-892-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E GUADALUPE RD",
            "address_2": "SUITE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345114",
            "telephone_number": "480-892-3180",
            "fax_number": "480-892-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE P COFFEY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-892-3180",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.