Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ian Coker, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699390633

Ian Coker, DO is a Family Practice in Edgewood, Kentucky. Qualified in 2020, 6 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

413 S Loop Rd
Edgewood, KY 41017-5446
Phone: (859) 301-3800
Fax: (859) 301-3987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2817 New Pinery Rd, Portage, WI 53901-9240 — (608) 742-4131

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 81229-21 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699390633
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address413 S Loop Rd, Edgewood, KY 41017-5446

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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