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 |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Mailing Address | Practice Location Address |
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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 | |
Martin A Castillo Liranzo, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 112 W Ross Blvd, Suite A, Dodge City, KS 67801 Phone: 620-801-4380 Fax: 620-801-4383 |