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Physician Compare National (NPI:1972510378)

HEALTHCARE PROVIDER: ALLAN G COATES DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1972510378
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3274532627
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120629000358
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name COATES
Individual professional last name
Provider First Name ALLAN
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1980
Individual professional's medical school graduation year
Primary Specialty GASTROENTEROLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Organization Legal Name GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2860413051
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2093 HEALTH DR SW
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 201
Group Practice or individual's line 2 address
City WYOMING
Group Practice or individual's city
State MI
Group Practice or individual's state
Zip Code 495199691
Group Practice or individual's zip code (9 digits when available)
Phone Number 6164527099
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 231323
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SPECTRUM HEALTH REED CITY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 230035
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 SPECTRUM HEALTH UNITED HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 231312
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 SHERIDAN COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 230093
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 SPECTRUM HEALTH BIG RAPIDS HOSPITAL
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 231317
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 SPECTRUM HEALTH KELSEY HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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