MEDICARE: DR. MARK R. COAKWELL M.D., M.P.H.

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	2083X0100X	Occupational Medicine Physician	ME 66350	FL
2	2083A0100X	Aerospace Medicine Physician	ME 66350	FL

General Provider Information

NPI Number	:	1871588327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK R. COAKWELL M.D., M.P.H.

Provider Business Mailing Address
First Line	:	2510 5TH ST BLDG 840
Second Line	:
City	:	WRIGHT PATTERSON AFB
State	:	OH
Zip	:	45433-7951
Country	:	US
Telephone Number	:	937-938-2744
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 5TH ST BLDG 840
Second Line	:
City	:	WRIGHT PATTERSON AFB
State	:	OH
Zip	:	45433-7951
Country	:	US
Telephone Number	:	937-938-2744
Fax Number	:

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	04/16/2019

Similar Medicare Providers

1952302358 — DR. GARY E FORD PSYD
Practice Location Address:

2510 5TH ST
WRIGHT PATTERSON AFB, OH
45433-7951

Practice Phone: 937-938-2704
Practice Fax:

1700873221 — DR. CHARLES ANTHONY SHURLOW D.O.
Practice Location Address:

2510 5TH ST , BLDG 840, AREA B
WRIGHT PATTERSON AFB, OH
45433-7951

Practice Phone: 937-938-2736
Practice Fax: 937-656-4006

1689658940 — DR. TEG WAYNE MCBRIDE PSYD, ABPP
Practice Location Address:

2510 5TH ST BLDG 840
WRIGHT PATTERSON AFB, OH
45433-7951

Practice Phone: 509-247-2731
Practice Fax:

1295711166 — DR. LAURA TORRES-REYES M.D., M.P.H.
Practice Location Address:

2510 5TH ST BLDG 840
WRIGHT PATTERSON AFB, OH
45433-7951

Practice Phone: 937-938-3084
Practice Fax:

1811975170 — DR. ANTHONY PAUL TVARYANAS M.D., P.H.D., M.P.H.
Practice Location Address:

2510 5TH ST , BUILDING 840, ROOM W413.08
WRIGHT PATTERSON AFB, OH
45433-7951

Practice Phone: 937-938-3253
Practice Fax: 937-656-5248

1124091467 — DR. DARRELL A. ROUSSE O.D.
Practice Location Address:

2510 5TH ST BLDG 840
WRIGHT PATTERSON AFB, OH
45433-7951

Practice Phone: 937-938-2681
Practice Fax:

Directions to “ DR. MARK R. COAKWELL M.D., M.P.H.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.