DR. PAUL DOUGLAS COFFIN (NPI# 1336133966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336133966 |
| Entity Type | Individual |
| Full Name | DR. PAUL DOUGLAS COFFIN |
| Credential | D.P.M. |
| Practice Address |
3450 S Lakeport St Suite B Sioux City IA 51106-4509 |
| Practice Telephone | 7122555048 |
| Practice Fax Number | 7122555263 |
| Mailing Telephone | 7122555048 |
| Mailing Fax Number | 7122555263 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 99 | SD | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | 275 | NE | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 362 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1184655 | 05 |
| Street Address |
3450 S LAKEPORT ST SUITE B |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51106-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457737793 | Foundations Mental Health Center, LLC | Counselor | 3450 S Lakeport St, Suite B, Sioux City, IA 51106-4543 | 2015-08-10 |
| 1699096537 | Foot & Ankle Associates of Siouxland, P.l.c. | Podiatrist | 3450 S Lakeport St, Suite B, Sioux City, IA 51106-4543 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534876 | Kimberly Pilar | Hearing Instrument Specialist | 4129 Gordon Dr, Sioux City, IA 51106 | 2020-03-23 |
| 1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
| 1316476062 | Atalie Elise Arnold | Behavioral Analyst | 5610 Myers Avenue, Sioux City, IA 51106 | 2017-06-07 |
| 1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
| 1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
| 1821386616 | Jennifer Lynae Smith | Dentist | 5708 Sunnybrook Dr., Sioux City, IA 51106 | 2011-07-14 |
| 1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
| 1639475239 | Northland Hearing Centers, Inc. | Audiologist | 4301 Sergeant Rd., Suite 109, Sioux City, IA 51106 | 2011-01-31 |
| 1588895023 | Kelly Ann Hancock | Nurse Practitioner | 2467 Sergeant Road, Sioux City, IA 51106 | 2009-07-31 |
| 1346419447 | Jean Marie Duran | Hearing Instrument Specialist | 4301 Sergeant Rd Ste 109, Sioux City, IA 51106 | 2008-02-22 |
| Find all providers in zip 51106 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184763500 | Sara Oelke | Podiatrist | 2916 Hamilton Blvd Uppr C, Sioux City, IA 51104-2519 | 2007-02-05 |
| 1861466583 | Randall P. Bergen | Podiatrist | 505 5th St, Suite 714, Sioux City, IA 51101-1500 | 2006-02-17 |
| 1215924253 | Marty J Kelley | Podiatrist | 2916 Hamilton Blvd, Sioux City, IA 51104-2429 | 2005-10-04 |
| 1699096537 | Foot & Ankle Associates of Siouxland, P.l.c. | Podiatrist | 3450 S Lakeport St, Suite B, Sioux City, IA 51106-4543 | 2010-06-15 |
| 1922201227 | Dr Greg J Mccarthy PC | Podiatrist | 2916 Hamilton Blvd, Sioux City, IA 51104-2429 | 2007-06-06 |
| 1831186865 | Gregory J Mccarthy | Podiatrist | 2916 Hamilton Blvd, Sioux City, IA 51104-2429 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744749 | Foot and Ankle Specialists of Ames, LLC | Podiatrist | 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 | 2020-09-11 |
| 1659842045 | Iowa Foot Care Center LLC | Podiatrist | 217 Duff Ave Ste 2, Ames, IA 50010-6609 | 2018-12-10 |
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1760894323 | Drew Michael Davidson | Podiatrist | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2014-05-29 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CITY |
| Zip Code | 51106 |
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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.