Individual provider Active NPI

Michael Troy Coleman, RPA RT(R)

  • Radiology Practitioner Assistant
  • Greensboro, NC
National Provider Identifier
1154528982
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
02 TN 1039 Issued in UT
Practice address
1414 Yanceyville St
Greensboro, NC 27405-6962
Phone
(336) 895-1598
Fax
(336) 390-2170
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiography Radiologic Technologist 2471C3402X 231751 GA
Radiology Practitioner Assistant 243U00000X 02 TN 1039 UT Primary

Addresses

Primary practice location

1414 Yanceyville St
Greensboro, NC 27405-6962

Mailing address

1414 Yanceyville St
Greensboro, NC 27405-6962
Phone (336) 895-1598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02 TN 1039UTMDRadiology Practitioner Assistant
231751GAMDRadiography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1154528982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056962",
            "telephone_number": "336-895-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 YANCEYVILLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056962",
            "telephone_number": "336-895-1598",
            "fax_number": "336-390-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MICHAEL",
        "middle_name": "TROY",
        "name_prefix": "Mr.",
        "credential": "RPA RT(R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "GA",
            "license": "231751",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "UT",
            "license": "02 TN 1039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.