Theodore W Coates, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA11101 Issued in CA

Practice address

2031 Anderson Rd
Ste a
Davis, CA 95616-0621

Phone

(530) 757-3700

Fax

(530) 756-6907

NPI assigned

Jul 19, 2006

Last updated

Feb 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard J Barry MD

  • Orthopaedic Surgery of the Spine Physician
  • Davis, CA
  • NPI 1295967289
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1821018557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 ANDERSON RD",
            "address_2": "STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160621",
            "telephone_number": "530-757-3700",
            "fax_number": "530-756-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 ANDERSON RD",
            "address_2": "STE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160621",
            "telephone_number": "530-757-3700",
            "fax_number": "530-756-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "THEODORE",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11101",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA11101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth C Clay, MD
• Clear Blue Nutrition Inc
• Andrea Marie Clegg, D.M.D
• Bryon D Cloyd, D.C.
• Melinda Coates
• Bethany Basinger Coburn, LCSW
• Annette Cody, ANNETTE CODY
• Susan Alice Cohen Byrne, MFT
• Beth Amy Cohen, PH.D.
• Deborah Ellen Cohen, MFT

• Surgical Physician Assistant in Davis, CA
• Providers in Davis, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.