DR. CHARLES D. COFFEY (NPI# 1093701849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093701849 |
| Entity Type | Individual |
| Full Name | DR. CHARLES D. COFFEY |
| Credential | M.D. |
| Practice Address |
12100 County Line Rd Ste A2 Madison AL 35756-2006 |
| Practice Telephone | 2563256722 |
| Practice Fax Number | 2563256722 |
| Mailing Telephone | 2563256722 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12858 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000018203 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Medical Cir, Moulton, AL 356501256 | 2569740606 | 2569744530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689016412 | Charles W Coffey | Family Medicine | 1055 N Curtis Rd, Boise, ID 83706 | 2013-07-22 |
| 1144479882 | Charles E. Coffey Jr. | Internal Medicine | 2799 W Grand Blvd, Cfp 417, Henry Ford Hospital, Detroit, MI 48202-2608 | 2008-09-18 |
| 1932297330 | Charles Stuart Coffey | Otolaryngology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-10-11 |
| 1437253770 | Charles R Coffey | Anesthesiology | 255 N 30th St, Laramie, WY 82072 | 2006-09-08 |
| 1033158019 | Charles Grannis Coffey | Family Medicine | 819 Ash St, Spooner, WI 54801-1201 | 2006-06-06 |
| Street Address |
12100 COUNTY LINE RD STE A2 |
| City | MADISON |
| State | AL |
| Zip Code | 35756-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191914 | Jennifer Ryder | Nurse Practitioner | 8 Ross Street, Madison, AL 35756 | 2016-09-01 |
| 1700256252 | Community Urgent Care of Madison, Inc | Family Medicine | 30694 Highway 72, Suite E, Madison, AL 35756 | 2015-09-28 |
| 1609271220 | Corner Crossing LLC | Pharmacy | 30694 Highway 72 West, Suite A, Huntsville, AL 35756 | 2014-10-24 |
| 1881941482 | Darleen Rebecca Morris | Physical Therapist | 12110 County Line Rd Ste B, Madison, AL 35756 | 2012-08-14 |
| 1528125622 | Mary Bryant | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| 1689730194 | Mayra H Blanche | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2006-12-29 |
| 1952357907 | Giles Henry Vaden | Counselor | 140 Fields Pond Drive, Madison, AL 35756 | 2006-05-25 |
| 1881816023 | Heather Grogan | Occupational Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-05-03 |
| 1255498358 | Judy Hawke | Physical Therapist | 30630 Hwy. 72 West, Madison, AL 35756 | 2007-01-02 |
| 1700943800 | Bryan Brazelle | Physical Therapist | 30630 Hwy 72 West, Madison, AL 35756 | 2007-01-02 |
| Find all providers in zip 35756 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1598390932 | Ashley Rae Woodcock | Family Medicine | 844 Slaughter Rd, Madison, AL 35758-8836 | 2020-03-05 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1538628961 | Heidi Hollinger | Family Medicine | 145 Kelso Blvd, Madison, AL 35756-4285 | 2019-03-15 |
| 1902364383 | Robert Thomas Pepper | Family Medicine | 1740 Lions Club Rd Ste 100, Madison, GA 30650-4762 | 2019-03-05 |
| 1497240485 | Doctor-patient Medicine Inc | Family Medicine | 101 Westover Cir Ste B, Madison, AL 35758-4900 | 2018-06-22 |
| 1457863243 | Debra Ann Mandarino | Family Medicine | 4223 Mandan Cres # 4223, Madison, WI 53711-3063 | 2017-11-02 |
| 1407367683 | Roxanne L Brown | Family Medicine | 1210 Briarville Rd Bldg F, Madison, TN 37115-5136 | 2017-10-16 |
| 1871023242 | Tulio Romulo Figarola | Family Medicine | 225 Mill Walk Ct, Madison, AL 35758-1565 | 2017-06-18 |
| 1649704586 | Zaunklay Finnila | Family Medicine | 540 Hughes Rd Ste 4, Madison, AL 35758-8959 | 2017-04-18 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on DR. CHARLES D. COFFEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.