ALAN JOSEPH KOFFRON MD NPI 1124056726

NPI Information

NPI: 1124056726
Provider Name: ALAN JOSEPH KOFFRON, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: UNIVERSITY SURGICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
2108 E 3RD ST STE 200
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 267-0466
Get Directions

Alan Joseph Koffron, MD is a transplant surgery in Chattanooga, TN with 32 years of experience. The provider is definition to come. Alan Joseph Koffron, MD NPI is 1124056726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1992

The provider's business location address is:

2108 E 3RD ST STE 200
CHATTANOOGA, TN
ZIP 37404-624
Phone: (423) 267-0466

The NPI 1124056726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/3/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		61833	TENNESSEE	Yes
2	208600000X	Surgery		61833	TENNESSEE	No
3	2086S0102X	Surgery	Surgical Critical Care	036090432	ILLINOIS	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036090432	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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