| Avon C Coffman, DO | |
| 
					5330 N Oak Trfy, Ste 201, Kansas City, MO 64118-4699  | |
| (816) 454-0666 | |
| (816) 454-1694 | 
| Full Name | Avon C Coffman | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology | 
| Location | 5330 N Oak Trfy, Kansas City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760458301 | NPI | - | NPPES | 
| P00331181 | Other | KS | RAILROAD MEDICARE | 
| 040008580 | Other | MO | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Y00000X | Otolaryngology | R7G78 (Missouri) | Primary | 
| Entity Name | Midwest Division - Lrhc Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639362460 PECOS PAC ID: 0941119150 Enrollment ID: O20031105000738  | 
| Entity Name | Cameron Regional Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811905375 PECOS PAC ID: 5092622001 Enrollment ID: O20040113000619  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Avon C Coffman, DO 5330 N Oak Trfy, Ste 201, Kansas City, MO 64118-4699 Ph: (816) 454-0666  | Avon C Coffman, DO 5330 N Oak Trfy, Ste 201, Kansas City, MO 64118-4699 Ph: (816) 454-0666  | 
Dr. Kim Ann Suk Baker, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3042  | |
Dr. Bart C Patenaude, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 15 E 54th St, Kansas City, MO 64110 Phone: 816-519-3013  | |
Dr. Ann Bailey Robinson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1004 Carondelet Dr, Suite 450, Kansas City, MO 64114 Phone: 816-942-7200 Fax: 816-941-2767  | |
Dr. Pamela Nicklaus, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000  | |
Robert Weatherly, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000  | |
Joseph R Guastello, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4320 Wornall Rd, Ste 512, Kansas City, MO 64111 Phone: 816-932-8663  | |
Dr. Thomas Cotton, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000  |