Patrick Joseph Coleman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

154524 Issued in NY

Practice address

84 Broad St
Glens Falls, NY 12801-4381

Phone

(518) 798-6066

Fax

(518) 761-2097

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pcoleman245776@direct.mmc.mainehealth.org

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346358496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-798-6066",
            "fax_number": "518-761-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-798-6066",
            "fax_number": "518-761-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "154524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Dewey Clynes, SLP
• Cherie Coe
• Zhanna Cohen
• Jamie Danielle Cohn, DDS
• Jake Colavito
• Nicole Collabolletta, OTR/L
• Dorcas Eileen Collard, PNP
• Robert J Collette, PT
• Paula J Collins, RN
• Mackenzie Elizabeth Coltart, OTR

• Family Medicine Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.