Active NPI
Charles Steven Coleman, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- Suffolk, VA
National Provider Identifier
1326061136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 0101226908
- Practice address
- 150 Burnetts Way
Suite 320
Suffolk, VA 23434-8168 - Phone
- (757) 934-1900
- Fax
- (757) 925-6719
- NPI assigned
- Jul 25, 2006
- Last updated
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101226908 | VA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 0101226908 | VA | Primary |
Addresses
Primary practice location
150 Burnetts Way
Suite 320
Suffolk, VA 23434-8168
Mailing address
150 Burnetts Way
Suite 320
Suffolk, VA 23434-8168
Phone (757) 934-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007114613 | Medicaid | VA | |
| 130022433 | Other | VA | MEDICARE RR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226908 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Suffolk, PLLC | Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71433
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Neurology and Sleep Associates
- Neurology Physician
- Suffolk, VA
- NPI 1972838498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1326061136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BURNETTS WAY",
"address_2": "SUITE 320",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348168",
"telephone_number": "757-934-1900",
"fax_number": "757-925-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BURNETTS WAY",
"address_2": "SUITE 320",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348168",
"telephone_number": "757-934-1900",
"fax_number": "757-925-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "CHARLES",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101226908",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "VA",
"license": "0101226908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007114613",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "130022433",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.