Jake A Coffman (NPI# 1194199349, PAC ID# 9436454857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194199349 |
| PAC ID by PECOS | 9436454857 |
| Professional Enrollment ID | I20160223002336 |
| Full Name | Jake A Coffman |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
190 Kimel Park Dr Winston Salem NC 27103-6946 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | NOVANT MEDICAL GROUP INC | |
| 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | NOVANT MEDICAL GROUP INC | |
| 50 Miller St, Suite G, Winston Salem, NC 27104-4206 | 3367187660 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
190 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-6946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINSTON SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jake A Coffman.
| 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.