Provider Demographics
NPI:1881863025
Name:A. JASON COE, MD, APMC.
Entity Type:Organization
Organization Name:A. JASON COE, MD, APMC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:T
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-875-7660
Mailing Address - Street 1:208 HIGHLAND PARK PLZ
Mailing Address - Street 2:SUITE 208
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7129
Mailing Address - Country:US
Mailing Address - Phone:985-875-7660
Mailing Address - Fax:985-875-7441
Practice Address - Street 1:208 HIGHLAND PARK PLZ
Practice Address - Street 2:SUITE 208
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7129
Practice Address - Country:US
Practice Address - Phone:985-875-7660
Practice Address - Fax:985-875-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1302759Medicaid
B60710Medicare UPIN
5K066Medicare PIN