Provider Demographics
NPI:1184415937
Name:JAMES A COGGI, MD, PC
Entity type:Organization
Organization Name:JAMES A COGGI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:COGGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-457-1102
Mailing Address - Street 1:1031 OFFICE PARK RD STE 10
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2582
Mailing Address - Country:US
Mailing Address - Phone:515-457-1102
Mailing Address - Fax:515-457-1107
Practice Address - Street 1:1031 OFFICE PARK RD STE 10
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2582
Practice Address - Country:US
Practice Address - Phone:515-457-1102
Practice Address - Fax:515-457-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1111385Medicaid