Active NPI
Charles W Coffey, M.D.
- Emergency Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 04-37537
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706 - Phone
- (208) 367-6995
- Fax
- (208) 367-6953
- NPI assigned
- Jul 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9408267 | KS | |
| Pediatrics Physician | 208000000X | M-14360 | ID | |
| Emergency Medicine Physician | 207P00000X | 04-37537 | KS | Primary |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
Phone (208) 367-6995
Other practice location 1
1701 E 23rd Ave
Hutchinson, KS 67502-9907
Phone (877) 346-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Hospital Dr
McPherson, KS 67460-2326
Phone (620) 241-7400
550 N Hillside St
Wichita, KS 67214-4910
Phone (316) 962-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9408267 | KS | MD | Family Medicine Physician |
| M-14360 | ID | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hutchinson Regional Medical Center, Inc. | Emergency Medicine | Current | Accepting new patients |
| University of Kansas School of Medicine Wichita Medical Practice Assoc | Family Medicine | Current | Accepting new patients |
| Boundary Community Hospital | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Kansas, LLC | Emergency Medicine | Current | Accepting new patients |
| Carepoint Emergency Medicine Kansas LLC | Emergency Medicine | Current | Accepting new patients |
| Boundary Community Hospital | Family Medicine | Current | Accepting new patients |
| Boundary Community Hospital | Current | Accepting new patients | |
| Newman Memorial County Hospital | Current | Accepting new patients | |
| Family Practice Associates of McPherson, L.L.P. | Family Medicine | Current | Accepting new patients |
| McPherson Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Hutchinson Regional Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Norton County Hospital | Past | Accepting new patients | |
| Newman Memorial County Hospital | Emergency Medicine | Past | Accepting new patients |
| Vigilias LLC | Pediatrics | Past | Accepting new patients |
Locations
6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141
1124 W 21st St
Andover, KS 67002
Phone (316) 300-4000
221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100
2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117
1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250
1000 Hospital Dr
#301
McPherson, KS 67460
Phone (620) 241-0917
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900
1010 N Kansas St
Ste 3054
Wichita, KS 67214
Phone (316) 293-2647
1010 N Kansas St
Wichita, KS 67214
Phone (316) 293-2622
Interoperability endpoints
- ccoffey1563386@direct.trinity-health.org
- https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Wichita, KS
- NPI 1477096097
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
-
- Hospitalist Physician
- Hutchinson, KS
- NPI 1972605285
Emergency Medicine
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
- Emergency Medicine Physician
- Manhattan, KS
- NPI 1831689934
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1639143712
Family Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bonners Ferry, ID
- NPI 1679621098
Family Medicine
-
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1801273552
-
- Family Medicine Physician
- McPherson, KS
- NPI 1588627384
-
- Pulmonary Disease Physician
- Hutchinson, KS
- NPI 1659931525
Family Medicine
-
- Emergency Medicine Physician
- Emporia, KS
- NPI 1457379273
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hutchinson, KS
- NPI 1922039320
-
- General Acute Care Hospital
- McPherson, KS
- NPI 1730297409
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1447299649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1689016412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-367-6995",
"fax_number": "208-367-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N CURTIS RD",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-367-6995",
"fax_number": "208-367-6953"
}
],
"practiceLocations": [
{
"address_1": "1701 E 23rd Ave",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675029907",
"country_code": "US",
"telephone_number": "877-346-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFEY",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-22",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "9408267",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "M-14360",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-37537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.