Provider Demographics
NPI:1386651941
Name:COADY, WILLIAM E (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:COADY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:1601 N 86TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-3713
Practice Address - Country:US
Practice Address - Phone:402-327-7500
Practice Address - Fax:402-327-7501
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20546207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8334OtherMIDLANDS CHOICE
NE100252190 00Medicaid
NE31789OtherBCBS
NE470780857 18Medicaid
00543OtherBCBS
NE100252191 00Medicaid
NE01-01285OtherUHC - APC
01-07692OtherUHC - SCF
NE470780857 07Medicaid
NE01-06810OtherUHC - TFH
278880Medicare PIN
NE100252191 00Medicaid
NE100252190 00Medicaid
G79404Medicare UPIN
P00454300Medicare PIN
281220Medicare PIN