RODRICK DUCROIX COAXUM MD
NPI 1902436157
Student in an Organized Health Care Education/Training Program in Elmira, NY
About Rodrick Ducroix Coaxum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODRICK DUCROIX COAXUM MD (NPI 1902436157) is an individual student in an organized health care education/training program in Elmira, New York and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rodrick Ducroix Coaxum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELMIRA, NY 14905
ELMIRA, NY 14905
ELMIRA, NY 14905
ELMIRA, NY 14905
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rodrick Coaxum's NPI number?
The NPI number for Rodrick Coaxum is 1902436157. It was assigned to this individual provider in the NPPES registry on January 16, 2020.
Where is Rodrick Coaxum located?
Rodrick Coaxum practices at 600 Roe Ave, Elmira, NY 14905. The listed phone number is (607) 737-4100.
What is Rodrick Coaxum's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Rodrick Coaxum enrolled in Medicare?
Yes. Rodrick Coaxum is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rodrick Coaxum was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rodrick Ducroix Coaxum, MD · NPI 1902436157
Student in an Organized Health Care Education/Training Program provider in Elmira, New York. Individual provider, active in the CMS NPPES registry since January 16, 2020.
## Identity
- **NPI:** 1902436157 (Entity type: Individual)
- **Enumerated:** January 16, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 600 ROE AVE, Elmira, NY 14905-1629
- **Phone:** (607) 737-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902436157) · Data from the CMS NPPES public registry.