Organization Active NPI

Paul D. Coleman, MD, Mpa, Co

Doing business as Paul D. Coleman, MD, Inc.

  • Health Service Clinic/Center
  • Barberton, OH
National Provider Identifier
1295052603
Registry record updated Apr 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
35052048 Issued in OH
Legal business name
PAUL D. COLEMAN, MD, MPA, CO
Doing business as
Paul D. Coleman, MD, Inc.
Practice address
107 5TH St SE
Suite 9
Barberton, OH 44203-4269
Phone
(330) 848-1799
Fax
(330) 848-4324
NPI assigned
Apr 24, 2010
Last updated
Apr 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2010

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

Authorized official

Name
Dr. Paul Donald Coleman, MDNPI 1104934645
Title
Physician/Owner
Phone
(330) 848-1799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 35052048 OH Primary

Addresses

Primary practice location

107 5TH St SE
Suite 9
Barberton, OH 44203-4269

Mailing address

107 5TH St SE
Suite 9
Barberton, OH 44203-4269
Phone (330) 848-1799

Other identifiers 1

IdentifierTypeStateIssuer
0795804MedicaidOH

Other names 1

  • Paul D. Coleman, MD, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

107 5th St SE
Ste 9
Barberton, OH 44203
Phone (330) 745-2033

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.

NPI Registry JSON

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

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272067200000",
    "number": "1295052603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 5TH ST SE",
            "address_2": "SUITE 9",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034269",
            "telephone_number": "330-848-1799",
            "fax_number": "330-848-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 5TH ST SE",
            "address_2": "SUITE 9",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034269",
            "telephone_number": "330-848-1799",
            "fax_number": "330-848-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. COLEMAN, MD, MPA, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-24",
        "last_updated": "2010-04-24",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "330-848-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "35052048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul D. Coleman, MD, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; 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.