MR. ROY LEE COGGIN (NPI# 1164628806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164628806 |
Entity Type | Individual |
Full Name | MR. ROY LEE COGGIN |
Credential | CPED,COF |
Practice Address |
3708 N Main St. Farmville NC 27828-1434 |
Mailing Address |
Po Box 690 Farmville NC 27828-0690 |
Practice Telephone | 2527532092 |
Practice Fax Number | 2527532499 |
Mailing Telephone | 2527532092 |
Mailing Fax Number | 2527532499 |
Enumeration Date | 2007-06-21 |
Last Update Date | 2012-11-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 224L00000X | Pedorthist | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7795300 | 05 | |
NC | 7795254 | 05 |
Street Address |
3708 N MAIN ST. |
City | FARMVILLE |
State | NC |
Zip Code | 27828-1434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558539056 | Best Value Med Care Pharmacy | Pharmacy | 3309 Bonnies Alley, Farmville, NC 27828 | 2008-02-19 |
1386705374 | Cecil Murray Walker IIi | Chiropractor | 7950 Hwy 258 N, Farmville, NC 27828 | 2006-12-13 |
1053322776 | Michael Benjamin Dixon | Dentist | 3380 E Wilson St, Farmville, NC 27828 | 2006-08-10 |
1811046535 | Kenneth Maurice Lovette | General Practice | 3485 N Main St, Farmville, NC 27828 | 2007-01-10 |
1215114715 | Success Dynamics Community Development Corporation | Case Management | 7227 Statonsburg Road, Farmville, NC 27828-0214 | 2008-01-28 |
1386848463 | Oasis Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7227 Stantonsburg Road, Farmivlle, NC 27828-0621 | 2007-06-13 |
1285776385 | Arc Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4331 Belcher St, Farmville, NC 27828-1366 | 2007-02-13 |
1144668492 | Monarch | Assisted Living Facility | 4331 Belcher St, Farmville, NC 27828-1382 | 2013-06-10 |
1710053657 | Eastern Eye Associates of Pitt-greene, Od Pa | Optometrist | 3681b N Main St, Farmville, NC 27828-1464 | 2006-11-24 |
1497751861 | Richard L Pippin | Internal Medicine | 3681 N Main St, Farmville, NC 27828-1464 | 2005-06-21 |
Find all providers in zip 27828 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235694704 | John Savel Deguzman | Pedorthist | 3206 Heritage Trade Dr Ste 114, Wake Forest, NC 27587-4487 | 2019-02-08 |
1548626252 | Advanced Orthopedic Products & Services, Inc. | Pedorthist | 2708 Wooten Blvd Sw, Suite B, Wilson, NC 27893-4428 | 2016-01-11 |
1497935464 | G Martin Edwards | Pedorthist | 54 Singing Pines Dr, Candler, NC 28715-9634 | 2007-11-07 |
1043780703 | Steven Daniel Fletcher | Pedorthist | 443 Daniels St, Raleigh, NC 27605-1359 | 2018-11-26 |
1356899843 | Charles Richard Follette | Pedorthist | 120 E Kingston Ave, Charlotte, NC 28203-4742 | 2016-09-14 |
1487089116 | Karen H Rose | Pedorthist | 309-b Nash St W, Wilson, NC 27893 | 2013-09-12 |
1033451042 | Penny C Tripp | Pedorthist | 1025 Wh Smith Blvd, Suite 108, Greenville, NC 27834-5052 | 2013-03-18 |
1043550148 | James Godfrey Mclelland Jr. | Pedorthist | 119 W Broad St, Statesville, NC 28677-5257 | 2013-02-26 |
1780669234 | Donald Earl Griffin | Pedorthist | 3010 Maplewood Ave, Suite 116, Winston Salem, NC 27103-4019 | 2005-12-07 |
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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.