Johannes Hendrik Coetzee, MD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

ME80617 Issued in FL

Practice address

7720 US Hwy 98
340
Destin, FL 32550

Phone

(850) 622-3338

Fax

(850) 622-2242

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962628206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CASA GRANDE LANE",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32459",
            "telephone_number": "850-622-3338",
            "fax_number": "850-622-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 US HWY 98",
            "address_2": "340",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32550",
            "telephone_number": "850-622-3338",
            "fax_number": "850-622-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COETZEE",
        "first_name": "JOHANNES",
        "middle_name": "HENDRIK",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME80617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear Vision Eyecare Associates LLC
• Coastal Pediatric Group
• Coastal Urology P a
• Coastal Vascular and Interventional PLLC
• Coastal Vascular and Interventional PLLC
• Comfortable Care Dental Health Professionals, P.a. (The Center for Cosmetic and Family Dentistry - Destin)
• Commons Drive Family Medicine
• Commons Drive Family Medicine, LLC
• Compass Physical Therapy
• Christine Clare Condit

• Public Health & General Preventive Medicine Physician in Destin, FL
• Providers in Destin, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• 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.

Verify at the official NPI Registry.