Jonathan S Coolidge (NPI# 1215917430, PAC ID# 1658342621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215917430 |
| PAC ID by PECOS | 1658342621 |
| Professional Enrollment ID | I20040803001412 |
| Full Name | Jonathan S Coolidge |
| Organization Legal Name | FORT PARKER EMERGENCY PHYSICIANS PLLC |
| Address |
600 S Bonham St Mexia TX 76667-3603 |
| Phone Number | 2545625332 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6406003011 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451367 | EAST TEXAS MEDICAL CENTER PITTSBURG |
| 450400 | PARKVIEW REGIONAL HOSPITAL |
| 370158 | PURCELL MUNICIPAL HOSPITAL |
| 451380 | EAST TEXAS MEDICAL CENTER QUITMAN |
| 450833 | ENNIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 322 Coleman St, Marlin, TX 76661-2358 | 2548033561 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| 600 S Bonham St, Mexia, TX 76667-3603 | 2545625332 | FORT PARKER EMERGENCY PHYSICIANS PLLC |
| 1500 N Green Ave, Purcell, OK 73080-1642 | 4055276524 | MCCLAIN EMERGENCY GROUP, LLC |
| Organization Legal Name | FORT PARKER EMERGENCY PHYSICIANS PLLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Scott Jensen | Emergency Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| Dileep C Bhateley | Family Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| James H Radack | Emergency Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| Donald Gene Phillips | Emergency Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| Street Address |
600 S BONHAM ST |
| City | MEXIA |
| State | TX |
| Zip | 76667-3603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Scott Jensen | Emergency Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| Dileep C Bhateley | Family Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| James H Radack | Emergency Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| Patricia A Savage-alsbrooks | Nurse Practitioner | Texas Em I Medical Services Pa | 600 S Bonham St, Parkview Regional Hospital, Mexia, TX 76667-3603 |
| Donald Gene Phillips | Emergency Medicine | Fort Parker Emergency Physicians Pllc | 600 S Bonham St, Mexia, TX 76667-3603 |
| James D Jackson Jr. | General Surgery | Texas Specialty Physicians | 600 S Bonham St, Mexia, TX 76667-3603 |
| Anthony Cubb | Internal Medicine | Texas Specialty Physicians | 600 S Bonham St, Mexia, TX 76667-3603 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley E Pittman | Optometry | 501 E Milam St, Mexia, TX 76667-2331 | |
| Brian S Johnson | Nurse Practitioner | Arete Urgent Care Pllc | 311 E Milam St, Tejas Urgent Care, Mexia, TX 76667-2359 |
| Sharon M Eskridge | Nurse Practitioner | Arete Urgent Care Pllc | 311 E Milam St, Tejas Urgent Care, Mexia, TX 76667-2359 |
| Donald E. Hicks | Physician Assistant | Arete Urgent Care Pllc | 311 E Milam St, Tejas Urgent Care, Mexia, TX 76667-2359 |
| James L Ryman | Family Medicine | Arete Urgent Care Pllc | 311 E Milam St, Tejas Urgent Care, Mexia, TX 76667-2359 |
| Alan M Lewis | Physician Assistant | Arete Urgent Care Pllc | 311 E Milam St, Mexia, TX 76667-2359 |
| Stanley D Sewell | Chiropractic | 722 E Commerce St, Mexia, TX 76667-2957 | |
| Jennifer I Oyeka | Nurse Practitioner | Health and Human Services Commission | 540 Chapel Dr, Mexia, TX 76667-3490 |
| James R Manshardt | Psychiatry | Health and Human Services Commission | 540 Chapel Dr, Mexia, TX 76667-3490 |
| Karla A Kuusisto | Psychiatry | Health and Human Services Commission | 540 Chapel Dr, Mexia, TX 76667-3490 |
| Find all physicians in zip 76667 | |||
| City | MEXIA |
| Zip Code | 76667 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MEXIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jonathan S Coolidge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.