Organization Active NPI

Dr. Walter B. Coleman PC

  • Foot & Ankle Surgery Podiatrist
  • Sterling Heights, MI
National Provider Identifier
1205974425
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DR. WALTER B. COLEMAN PC
Practice address
9001 15 Mile Rd
Sterling Heights, MI 48312-3611
Phone
(586) 979-0560
Fax
(586) 979-8766
NPI assigned
Feb 1, 2007
Organization subpart
Yes
Parent organization
DR. WALTER B COLEMAN PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Authorized official

Name
Dr. Walter B Coleman, D.P.M.NPI 1407831308
Title
President.
Phone
(586) 979-0560

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

9001 15 Mile Rd
Sterling Heights, MI 48312-3611

Mailing address

9001 15 Mile Rd
Ste a
Sterling Heights, MI 48312-3611
Phone (586) 979-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930049078 MI DME Supplier - Physician - Podiatry 5395864946 Practice locations: Sterling Heights, MI
O20110111000884 MI Part B Supplier - Clinic/Group Practice 5395864946 Receives reassigned benefits from 3 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory
Tax ID family
Dr Walter B Coleman PC2 organizations share this tax ID, including this one
Part of
Dr Walter B Coleman PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9001 15 Mile Rd
Ste 1
Sterling Heights, MI 48312

9001 15 Mile Rd
Sterling Heights, MI 48312
Phone (248) 843-4553

Practitioners & affiliated clinicians

Practitioners 4

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1205974425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-0560",
            "fax_number": "586-979-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-0560",
            "fax_number": "586-979-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WALTER B. COLEMAN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. WALTER B COLEMAN PC",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT.",
        "authorized_official_telephone_number": "586-979-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.