Active NPI
Michele K. Coleman DO & Associates, Inc.
- Family Medicine Physician
- Mount Vernon, WA
National Provider Identifier
1225375702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP60188169
- Legal business name
- MICHELE K. COLEMAN DO & ASSOCIATES, INC.
- Practice address
- 125 N 18TH St
Suite B
Mount Vernon, WA 98273-3902 - Phone
- (360) 630-0072
- NPI assigned
- Jan 3, 2013
- 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. Michele K Coleman, D.O.
- Title
- President
- Phone
- (360) 630-0072
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | OP60188169 | WA | |
| Family Medicine Physician | 207Q00000X | OP60188169 | WA | Primary |
Addresses
Primary practice location
125 N 18TH St
Suite B
Mount Vernon, WA 98273-3902
Mailing address
414 E Washington St
Mount Vernon, WA 98274-3935
Phone (360) 630-0072
National Provider Directory
National Provider DirectoryLocations
120 N 18th St
Mount Vernon, WA 98273
Phone (360) 424-0002
21818 66th Ave W
Ste 3
Mountlake Terrace, WA 98043
Phone (360) 336-0123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367798400000",
"number": "1225375702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E WASHINGTON ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982743935",
"telephone_number": "360-630-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N 18TH ST",
"address_2": "SUITE B",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733902",
"telephone_number": "360-630-0072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE K. COLEMAN DO & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-03",
"last_updated": "2013-05-06",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-630-0072",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "WA",
"license": "OP60188169",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "OP60188169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.