Provider Demographics
NPI:1598759169
Name:COONCE, DON CURTIS (MD)
Entity type:Individual
Prefix:
First Name:DON
Middle Name:CURTIS
Last Name:COONCE
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:PO BOX 801143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1143
Mailing Address - Country:US
Mailing Address - Phone:573-331-3000
Mailing Address - Fax:573-331-5073
Practice Address - Street 1:150 S MOUNT AUBURN RD
Practice Address - Street 2:SUITE 420
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4911
Practice Address - Country:US
Practice Address - Phone:573-335-4448
Practice Address - Fax:573-335-4466
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD108690207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208005108Medicaid
MO274497OtherHEALTHLINK
F27167Medicare UPIN
MO132470086Medicare PIN