Avon C Coffman, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

R7G78 Issued in MO

Practice address

5330 N Oak Trfy
Ste 201
Kansas City, MO 64118-4699

Phone

(816) 454-0666

Fax

(816) 454-1694

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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 Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: avon.coffman@hca2.eclinicaldirectplus.com

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.

• Cameron Regional Medical Center Inc

  • General Acute Care Hospital
  • Cameron, MO
  • NPI 1811905375
  Medicare reassignment NPD
• Midwest Division - LRHC LLC

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1639362460
  Medicare reassignment NPD
• Cameron Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • King City, MO
  • NPI 1861269318
  NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1760458301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666",
            "fax_number": "816-454-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRFY",
            "address_2": "STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184699",
            "telephone_number": "816-454-0666",
            "fax_number": "816-454-1694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "AVON",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "R7G78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00331181",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040008580",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Codilla
• Douglas Arthur Coe, M.D.
• Hayley Frances Coen, NP-C
• Garrett Leland Coffelt, DPT
• Janie Miranda Coffey, PT, MPT
• Joel Stephen Coffman, P.T.
• Kevin Shawn Coffman, D.C.
• Leslie Coffman, APRN
• Lindsey B Coffman, R.D., CDE
• Mariah Rae Cofield, MS, RD, LD, CDCES

• Otolaryngology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.