Active NPI
Christopher Coakley, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Plymouth, MA
National Provider Identifier
1780750455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 40203
- Practice address
- 45 Resnik Rd
Suite 303
Plymouth, MA 02360-4844 - Phone
- (508) 746-7858
- NPI assigned
- Nov 27, 2006
- Last updated
- Mar 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 40203 | MA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 40203 | MA | Primary |
Addresses
Primary practice location
45 Resnik Rd
Suite 303
Plymouth, MA 02360-4844
Mailing address
45 Resnik Rd
Suite 303
Plymouth, MA 02360-4844
Phone (508) 746-7858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123137 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Boston University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
45 Resnik Rd
Plymouth, MA 02360-4883
Phone (508) 746-7858
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40203 | MA | MD | Endocrinology, Diabetes & Metabolism Physician |
Interoperability endpoints
- christopher.coakley@coak.eclinicaldirectplus.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Plymouth, MA
- NPI 1770916751
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Plymouth, MA
- NPI 1366481293
-
- Home Health Agency
- South Easton, MA
- NPI 1811257694
-
- General Acute Care Hospital
- Milton, MA
- NPI 1174618953
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- Home Health Agency
- Norwell, MA
- NPI 1043398498
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1780750455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 RESNIK RD",
"address_2": "SUITE 303",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604844",
"telephone_number": "508-746-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RESNIK RD",
"address_2": "SUITE 303",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604844",
"telephone_number": "508-746-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "40203",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MA",
"license": "40203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123137",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.