Robert A Coe, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

36330-20 Issued in WI

Practice address

118 W Maple Ave
Beaver Dam, WI 53916-2104

Phone

(920) 356-1000

Fax

(920) 356-0719

NPI assigned

Aug 17, 2006

Last updated

Nov 27, 2023By 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

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Family & Sports Orthopaedic Center, LLC

  • Orthopaedic Surgery Physician
  • Columbus, WI
  • NPI 1194984880
  Authorized official Same address or phone
• Family & Sports Orthopaedic Center, LLC

  • Specialist
  • Beaver Dam, WI
  • NPI 1467565978
  Authorized official Same address or phone
• Family & Sports Orthopaedic Center LLC

  • Orthopaedic Surgery Physician
  • Beaver Dam, WI
  • NPI 1730340514
  NPD (past)
• Family & Sports Orthopaedic Center, LLC

  • Orthopaedic Surgery Physician
  • Waupun, WI
  • NPI 1649430380
  NPD (past)
• Family & Sports Orthopaedic Center, LLC

  • Orthopaedic Surgery Physician
  • Columbus, WI
  • NPI 1841451622
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1932212461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PARK AVE",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251618",
            "telephone_number": "920-623-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MAPLE AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162104",
            "telephone_number": "920-356-1000",
            "fax_number": "920-356-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "36330",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "36330-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "1700361940",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "1003837",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "391796912",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH SYSTEMS",
            "identifier": "61268",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN",
            "identifier": "11801",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32123200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RCOE266785@DIRECT-EHR-SSMHC.COM",
            "affiliation": "Y",
            "affiliationName": "SSM HEALTHCARE OF WI INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RCOE266785@DIRECT-EHR-SSMHC.COM",
            "address_1": "118 W Maple Ave",
            "city": "Beaver Dam",
            "state": "WI",
            "country_code": "US",
            "postal_code": "539162104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Church Health Services, Inc.
• City of Beaver Dam Et Al (Beaver Dam Fire Department)
• Susan Dorsch Clark, OTR
• Richard Clutson, MD
• Edward F Cody, MD
• Community Pediatrics SC
• Daniel Conard
• Consultants Laboratory of Wisconsin, LLC (SSM Health Laboratories)
• Debra Lynn Conway, MS LPC
• Mischa Renee Cordle, APNP

• Orthopaedic Surgery Physician in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Orthopaedic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.