Active NPI
William Patrick Coleman IV, M.D.
- Procedural Dermatology Physician
- Metairie, LA
National Provider Identifier
1104038439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- MD.200588
- Practice address
- 4425 Conlin St
Metairie, LA 70006-2123 - Phone
- (504) 455-3180
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD.200588 | LA | |
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | MD.200588 | LA | |
| Procedural Dermatology Physician | 207NS0135X | MD.200588 | LA | Primary |
Addresses
Primary practice location
4425 Conlin St
Metairie, LA 70006-2123
Mailing address
4425 Conlin St
Metairie, LA 70006-2123
Phone (504) 455-3180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4K824 | Other | LA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4425 Conlin St
Metairie, LA 70006-2181
Phone (504) 455-3180
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 58 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 704 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.200588 | LA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Nola | Dermatology | Current | Accepting new patients |
Locations
4425 Conlin St
Metairie, LA 70006
Phone (504) 455-3180
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Metairie, LA
- NPI 1043768427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1104038439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 CONLIN ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062123",
"telephone_number": "504-455-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 CONLIN ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062123",
"telephone_number": "504-455-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "WILLIAM",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "MD.200588",
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": "LA",
"license": "MD.200588",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "LA",
"license": "MD.200588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "4K824",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.