Active NPI
Coldwater Medical Inc.
- Family Medicine Physician
- Coldwater, OH
National Provider Identifier
1154323962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408964 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
407 S Oak St
Coldwater, OH 45828
Phone (419) 678-2354
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Coldwater, OH
- NPI 1871594374
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.