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MR. JOEL WAYNE COOTS MPASPA-C NPI 1235146945


NPI Information

NPI: 1235146945
Provider Name: MR. JOEL WAYNE COOTS, MPAS,PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
2301 N BENDIX DR
SOUTH BEND, IN
ZIP 46628
Phone: (574) 647-1675
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MR. Joel Wayne Coots, MPAS,PA-C is a physician assistant in South Bend, IN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Joel Wayne Coots, MPAS,PA-C NPI is 1235146945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2301 N BENDIX DR
SOUTH BEND, IN
ZIP 46628-486
Phone: (574) 647-1675
Fax: (574) 232-5595

The enumeration date for this NPI number is 8/2/2006 and was last updated on 11/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalNo
2363A00000XPhysician Assistant10001120AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1264430277MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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