Active NPI
Thomas M Coon, MD
- Orthopaedic Surgery Physician
- Red Bluff, CA
National Provider Identifier
1932214244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G86235
- Practice address
- 2540 Sister Mary Columba Dr
Red Bluff, CA 96080 - Phone
- (530) 528-8899
- Fax
- (530) 528-8898
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G86235 | CA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 35055561 | OH |
Addresses
Primary practice location
2540 Sister Mary Columba Dr
Red Bluff, CA 96080
Mailing address
PO Box 8640
Red Bluff, CA 96080
Phone (530) 528-8899
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ07422Z | Other | CA | BLUE SHIELD |
| 00G862350 | Medicaid | CA | |
| DA8854 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040225000662 | CA | Practitioner - Orthopedic Surgery | 8729972575 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055561 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Freedhand MD Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Shasta Orthopedics & Sports Medicine a Medical Corporation | Orthopaedic Surgery | Past | Accepting new patients |
| John E. Kemp,M.D.,Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Apogee Outpatient Surgery Center | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932214244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8640",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "96080",
"telephone_number": "530-528-8899",
"fax_number": "530-528-8898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 SISTER MARY COLUMBA DR",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "96080",
"telephone_number": "530-528-8899",
"fax_number": "530-528-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COON",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G86235",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35055561",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ07422Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G862350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA8854",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.