Organization Active NPI

Coldwater Medical Inc.

  • Family Medicine Physician
  • Coldwater, OH
National Provider Identifier
1154323962
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLDWATER MEDICAL INC.
Practice address
407 S Oak St
Coldwater, OH 45828-1622
Phone
(419) 678-2354
Fax
(419) 678-4716
NPI assigned
Aug 11, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John J Naveau, M.D.NPI 1871594374
Title
President
Phone
(419) 678-2354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH Primary

Addresses

Primary practice location

407 S Oak St
Coldwater, OH 45828-1622

Mailing address

407 S Oak St
Coldwater, OH 45828-1622
Phone (419) 678-2354

Other identifiers 1

IdentifierTypeStateIssuer
0408964MedicaidOH

National Provider Directory

National Provider Directory

Locations

407 S Oak St
Coldwater, OH 45828
Phone (419) 678-2354

Interoperability endpoints

  • Direct secure messaging: jnaveau@coldwatermedicalpatients.amazing-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154323962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S OAK ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281622",
            "telephone_number": "419-678-2354",
            "fax_number": "419-678-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S OAK ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281622",
            "telephone_number": "419-678-2354",
            "fax_number": "419-678-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDWATER MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAVEAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-678-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.