Active NPI
Henry Joseph Coleman, D.O.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Lauderdale, FL
National Provider Identifier
1215266366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- OS 11774
- Practice address
- 401 E Las Olas Blvd
Suite 130-153
Fort Lauderdale, FL 33301-2210 - Phone
- (954) 272-8425
- NPI assigned
- Dec 21, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 5101007227 | MI | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | OS 11774 | FL | Primary |
Addresses
Primary practice location
401 E Las Olas Blvd
Suite 130-153
Fort Lauderdale, FL 33301-2210
Mailing address
401 E Las Olas Blvd
Suite 130-153
Fort Lauderdale, FL 33301-2210
Phone (954) 272-8425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617001734 | FL | Order and Referring Only - Cardiac Surgery | 3971894163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 11774 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 5101007227 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1215266366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E LAS OLAS BLVD",
"address_2": "SUITE 130-153",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012210",
"telephone_number": "954-272-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E LAS OLAS BLVD",
"address_2": "SUITE 130-153",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012210",
"telephone_number": "954-272-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "HENRY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-21",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "5101007227",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "OS 11774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.