Charles W Coffey (NPI# 1689016412, PAC ID# 3274767348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1689016412 |
PAC ID by PECOS | 3274767348 |
Professional Enrollment ID | I20170106001827 |
Full Name | Charles W Coffey |
Organization Legal Name | KANSAS MEDICAL CENTER LLC |
Address |
1124 W 21st St Andover Anesthesia Andover KS 67002-5500 |
Phone Number | 3163004000 |
Gender | M |
Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 2668476862 |
Number of Group Practice Members | 46 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170017 | SUSAN B ALLEN MEMORIAL HOSPITAL |
170197 | KANSAS MEDICAL CENTER LLC |
Address | Phone | Organization |
---|---|---|
1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 | 3163004000 | KANSAS MEDICAL CENTER LLC |
720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 | 3163213000 | SUSAN B ALLEN MEMORIAL HOSPITAL |
Organization Legal Name | KANSAS MEDICAL CENTER LLC |
Physicians | 46 |
Name | Specialty | Organization | Address |
---|---|---|---|
Miranda L Vancil | Nurse Practitioner | Kansas Medical Center LLC | 1410 N Woodlawn Blvd, Family Health Center, Derby, KS 67037-2953 |
Ahmad Qaddour | Cardiovascular Disease (cardiology) | Kansas Medical Center LLC | 510 E Carthage St, Meade, KS 67864-0820 |
Gerald T Estep | Emergency Medicine | Kansas Medical Center LLC | 9840 E 21st St N, Kmc Emergency Department At Webb Rd, Wichita, KS 67206-3589 |
Jill C Gallagher | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Jason A Hampl | Family Medicine | Kansas Medical Center LLC | 307 W Hwy 54 300, Flint Hills Medical Clinic, Andover, KS 67002-7846 |
Casandra Lea Butler | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
Melissa Martinez-huckleby | Nurse Practitioner | Kansas Medical Center LLC | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2160 |
Paige H Dodson | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Jeff Andrew Carpenter | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Edward Wade | Anesthesiology | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Street Address |
1124 W 21ST ST ANDOVER ANESTHESIA |
City | ANDOVER |
State | KS |
Zip | 67002-5500 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill C Gallagher | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Casandra Lea Butler | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
Paige H Dodson | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Jeff Andrew Carpenter | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Edward Wade | Anesthesiology | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Matthew T Reed | Nephrology | Kansas Nephrology Physicians, P.a. | 1124 W 21st St, Andover, KS 67002-5500 |
Daniel Brendan Rice | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Luke Gregory Records | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Jamie Geier | Physician Assistant | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
Joseph F Couey | Nurse Practitioner | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Val Jean Brown Jr. | Internal Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Martin E Sellberg | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Rahul P Singh | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
James T Prescott | Family Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Tracy L Tucker | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Kristine A Alvarez | Physician Assistant | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
John P Weller | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover Anesthesia, Andover, KS 67002-5500 |
Catherine A Scheve | Physician Assistant | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
Brook H Roberts | Certified Registered Nurse Anesthetist (crna) | Kansas Medical Center LLC | 1124 W 21st St, Andover, KS 67002-5500 |
Bryon K Mcneil | Emergency Medicine | Kansas Medical Center LLC | 1124 W 21st St, Emergency Medicine, Andover, KS 67002-5500 |
Find all physicians in zip 67002 |
City | ANDOVER |
Zip Code | 67002 |
Specialty | INTERNAL MEDICINE |
City + Specialty | ANDOVER + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.