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NPI Code Detail

MEDICARE: TIMOTHY ALAN COAKLEY M.D.

MEDICARE: TIMOTHY ALAN COAKLEY 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
1207P00000XEmergency Medicine Physician01046265AIN
2207P00000XEmergency Medicine Physician85552WI
3207P00000XEmergency Medicine Physician0101058840VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073559985
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ALAN COAKLEY M.D.
Provider Business Mailing Address
First Line : 401 CAROLANNE POINT CIR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-4156
Country : US
Telephone Number : 757-508-1022
Fax Number :
Provider Business Practice Location Address
First Line : 1901 TATE SPRINGS RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1109
Country : US
Telephone Number : 434-200-3027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 02/16/2026

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Directions to “ TIMOTHY ALAN COAKLEY M.D.” Practice Location

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