Active NPI
Billy Coleman, CSFA
- Surgical Assistant
- Clermont, FL
National Provider Identifier
1386079366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 94979
- Practice address
- 891 Princeton Dr
Clermont, FL 34711-6757 - Phone
- (407) 227-6984
- NPI assigned
- Sep 9, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 94979 | FL | Primary |
Addresses
Primary practice location
891 Princeton Dr
Clermont, FL 34711-6757
Mailing address
891 Princeton Dr
Clermont, FL 34711-6757
Phone (407) 227-6984
Other names 1
- William Coleman
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94979 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1386079366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 PRINCETON DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116757",
"telephone_number": "407-227-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 PRINCETON DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116757",
"telephone_number": "407-227-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "BILLY",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-09",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "94979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "COLEMAN",
"credential": "CSFA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.