ALAN JOSEPH KOFFRON (NPI# 1124056726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124056726 |
Entity Type | Individual |
Full Name | ALAN JOSEPH KOFFRON |
Credential | MD |
Practice Address |
2108 E 3rd St Ste 200 Chattanooga TN 37404-2624 |
Mailing Address |
979 E 3rd St Ste 300 Chattanooga TN 37403-2187 |
Practice Telephone | 4232670466 |
Mailing Telephone | 4232670466 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2020-11-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 61833 | TN | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 61833 | TN | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
036090432 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036090432 | 05 |
Street Address |
2108 E 3RD ST STE 200 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37404-2624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881671998 | Craig Andrew Murray | Surgery | 2108 E 3rd St Ste 200, Chattanooga, TN 37404-2624 | 2005-12-29 |
1609096692 | Mary Ann Eck | Physician Assistant | 2108 E 3rd St Ste 200, Chattanooga, TN 37404-2624 | 2007-05-01 |
1013087162 | Julie Ann Koffron | Surgery | 2108 E 3rd St Ste 200, Chattanooga, TN 37404-2624 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
Find all providers in zip 37404 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366452484 | Jason M Vanatta | Transplant Surgery | 1265 Union Ave, 4 Shorb Tower, Memphis, TN 38104-3415 | 2006-08-09 |
1306871157 | William Arthur Nylander | Transplant Surgery | 912 Oxford House, Nashville, TN 37232-4750 | 2006-07-11 |
1225016546 | Seth Jonathan Karp | Transplant Surgery | 805 Oxford House, 1313 21st Avenue South, Nashville, TN 37232-4745 | 2006-01-06 |
1811471485 | Diana Wells-english | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5067 | 2018-09-19 |
1841695632 | Martin Strueber | Transplant Surgery | 6025 Walnut Grove Rd Ste 111, Memphis, TN 38120-2102 | 2014-10-23 |
1427317908 | Ut Methodist Physicians LLC | Transplant Surgery | 1265 Union Ave, Memphis, TN 38104-3415 | 2012-05-03 |
1891002523 | University Health System, Inc | Transplant Surgery | 1940 Alcoa Hwy, Ste E120, Knoxville, TN 37920 | 2010-09-01 |
1255563938 | Muhammad Ameen Rauf | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2009-08-14 |
1942452073 | Peter John Horton | Transplant Surgery | 1265 Union Ave, Suite 184, Memphis, TN 38104-3415 | 2008-10-21 |
1780849208 | Martin Ignacio Montenovo | Transplant Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2420 | 2008-07-24 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37404 |
Please comment or provide details below to improve the information on ALAN JOSEPH KOFFRON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.