1386651941 NPI number — WILLIAM E COADY MD

Table of content: WILLIAM E COADY MD (NPI 1386651941)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386651941 NPI number — WILLIAM E COADY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COADY
Provider First Name:
WILLIAM
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386651941
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8055 O ST
Provider Second Line Business Mailing Address:
STE 300
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68510-2580
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-421-0896
Provider Business Mailing Address Fax Number:
402-421-0945

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1601 N 86TH ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68505-3713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-327-7500
Provider Business Practice Location Address Fax Number:
402-327-7501
Provider Enumeration Date:
08/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  20546 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 8334 . This is a "MIDLANDS CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100252190 00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 31789 . This is a "BCBS" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 470780857 18 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00543 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100252191 00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01-01285 . This is a "UHC - APC" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 01-07692 . This is a "UHC - SCF" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470780857 07 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01-06810 . This is a "UHC - TFH" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com