Thomas H. Coe, M.D.

Individual provider Active NPI Emergency Medicine Physician · Chickasha, OK

NPI 1710917554 · NPPES record last updated Jul 14, 2008

Key facts

NPI
1710917554
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
9736 (OK)
Practice address
2220 W Iowa Ave
Chickasha, OK 73018-2738
Phone
(405) 224-2300
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9736OKMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9736 OK Yes

Addresses

Primary practice location

2220 W Iowa Ave
Chickasha, OK 73018-2738

Mailing address

2220 W Iowa Ave
Chickasha, OK 73018-2738

Other identifiers

IdentifierTypeStateIssuer
100251840AMedicaidOK

Other providers in Chickasha, OK

All providers in Chickasha, OK · Emergency Medicine Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.