Active NPI
David D Coster, M.D.
- Surgery Physician
- Grinnell, IA
National Provider Identifier
1780655191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26205
- Practice address
- 122 4TH Ave
Grinnell, IA 50112-1829 - Phone
- (641) 236-4323
- Fax
- (641) 236-3411
- NPI assigned
- Feb 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26205 | IA | Primary |
Addresses
Primary practice location
122 4TH Ave
Grinnell, IA 50112-1829
Mailing address
122 4TH Ave
Grinnell, IA 50112-1829
Phone (641) 236-4323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26205 | IA | MD | Surgery Physician |
Interoperability endpoints
- davidcoster@sagllp.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1780655191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121829",
"telephone_number": "641-236-4323",
"fax_number": "641-236-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121829",
"telephone_number": "641-236-4323",
"fax_number": "641-236-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTER",
"first_name": "DAVID",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "26205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.