JACQUELINE ANN COFFMAN (NPI# 1942536883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942536883 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANN COFFMAN |
| Credential | PA-C |
| Practice Address |
2200 S Main St Paris IL 61944-2966 |
| Mailing Address |
501 Lake Land Blvd Suite 202, System Practices Mattoon IL 61938-5283 |
| Practice Telephone | 2174634340 |
| Practice Fax Number | 2174634342 |
| Mailing Telephone | (217) 258-3370 |
| Mailing Fax Number | 2172583379 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003642 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 S MAIN ST |
| City | PARIS |
| State | IL |
| Zip Code | 61944-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648221 | Matthew K Woodruff | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2017-09-22 |
| 1790026425 | Karen S. Wilson-guinto | Nurse Practitioner | 2200 S Main St, Paris, IL 61944-2966 | 2013-03-05 |
| 1073801734 | Michelle K Miller | Nurse Practitioner | 2200 S Main St, Paris, IL 61944-2966 | 2011-07-15 |
| 1194022368 | Carrie M Cunningham | Nurse Practitioner | 2200 S Main St, Paris, IL 61944 | 2011-02-23 |
| 1831315225 | Hospital & Medical Foundation of Paris, Inc | Clinic/Center | 2200 S Main St, Paris, IL 61944 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653140 | Cynthia Elaine Barbee | Speech-Language Pathologist | 300 East Wood Street, Paris, IL 61944 | 2018-09-20 |
| 1093853855 | Marilyn Marks Frey | Clinical Neuropsychologist | 723 E Court St, Paris, IL 61944 | 2007-02-02 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| 1063586550 | Robert Ellsworth Sprague | Dentist | 110 Sheriff St, Paris, IL 61944 | 2006-11-17 |
| 1629152244 | Elaine Rachelle Good | Speech-Language Pathologist | 12443 E 1000th Rd, Paris, IL 61944 | 2006-10-24 |
| 1205883428 | Human Resources Center of Edgar and Clark Counties | Day Training, Developmentally Disabled Services | 118 E Court St, Paris, IL 61944 | 2006-05-31 |
| 1932109121 | Maria C Horvat | Obstetrics & Gynecology | 727 E Court St, Paris, IL 61944 | 2005-07-28 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1942750948 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 727 E Court St, Paris, IL 61944 | 2016-10-13 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| Find all providers in zip 61944 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1760038582 | Hannah Mathis Hutson | Physician Assistant | 1297 Mineral Wells Ave, Paris, TN 38242-5050 | 2019-08-16 |
| 1477517639 | Tom Kevin Staton | Physician Assistant | 1655 Ne Loop 286, Paris, TX 75460 | 2006-04-14 |
| 1285625129 | Timothy Allen Lavoy | Physician Assistant | 305 N Collegiate Dr, Paris, TX 75460-4870 | 2005-10-31 |
| 1528697190 | Joshua Mark Diltz | Physician Assistant | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-06 |
| 1134627557 | Eagle Creek Emergency Group, PC | Physician Assistant | 301 Tyson Ave, Paris, TN 38242-4544 | 2018-01-31 |
| 1205349875 | Reginald Robinson | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-11-06 |
| 1235648221 | Matthew K Woodruff | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2017-09-22 |
| 1790226504 | Lacey Gardner | Physician Assistant | 865 Deshong Dr, Paris, TX 75460-9313 | 2017-03-13 |
| 1891123949 | Red River Valley Inpatient Services Pllc | Physician Assistant | 820 Clarksville St, Paris, TX 75460-6027 | 2013-10-29 |
| Find all providers in PARIS | ||||
Please comment or provide details below to improve the information on JACQUELINE ANN COFFMAN.
| 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.