| Dr Coy Randolph Matthews, MD | |
|
100 W Ross Blvd Ste 1b, Dodge City, KS 67801-7217 | |
| (620) 371-5576 | |
| Not Available |
| Full Name | Dr Coy Randolph Matthews |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 100 W Ross Blvd Ste 1b, Dodge City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528028149 | NPI | - | NPPES |
| 8954811 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36388 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 04-44067 (Kansas) | Primary |
| Entity Name | Goshen Medical Center, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Coy Randolph Matthews, MD 800 Jefferson St, Suite 116, Whiteville, NC 28472-3702 Ph: (910) 642-2642 | Dr Coy Randolph Matthews, MD 100 W Ross Blvd Ste 1b, Dodge City, KS 67801-7217 Ph: (620) 371-5576 |
Dr. Jessica Y Calvo Castanon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 W Ross Blvd, Suite 2a, Dodge City, KS 67801 Phone: 620-227-3141 Fax: 620-227-8095 | |
Lyle D Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2020 Central Ave, Dodge City, KS 67801 Phone: 620-227-1371 Fax: 620-227-1208 |