Active NPI
David Coffey, DPM
- Student in an Organized Health Care Education/Training Program
- Lorain, OH
National Provider Identifier
1912790189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 59.001096
- Practice address
- 3700 Kolbe Rd
Lorain, OH 44053-1611 - Phone
- (440) 960-3748
- NPI assigned
- May 28, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 59.001096 | OH | Primary |
Addresses
Primary practice location
3700 Kolbe Rd
Lorain, OH 44053-1611
Mailing address
3601 Olde Well Run Unit 319
Zionsville, IN 46077-0030
Phone (317) 354-7105
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59.001096 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1912790189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 OLDE WELL RUN UNIT 319",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460770030",
"telephone_number": "317-354-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KOLBE RD",
"city": "LORAIN",
"state": "OH",
"postal_code": "440531611",
"telephone_number": "440-960-3748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEY",
"first_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "59.001096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.