MEDICARE: PAUL COFOID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	29495	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	460000484	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000044718	OTHER	KY	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1120940	OTHER	KY	PASSPORT

General Provider Information

NPI Number	:	1831193713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL COFOID M.D.

Provider Business Mailing Address
First Line	:	201 PARK ST
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-1759
Country	:	US
Telephone Number	:	270-781-5111
Fax Number	:	270-780-0478

Provider Business Practice Location Address
First Line	:	350 PARK ST
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-1784
Country	:	US
Telephone Number	:	270-781-5111
Fax Number	:	270-780-0478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/02/2014

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Directions to “ PAUL COFOID M.D.” Practice Location

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