Doug Coleman, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MC1662 Issued in AR

Legal business name

DOUG COLEMAN, MD PA

Doing business as

Doug Coleman, MD PA

Practice address

1400 Claud Rd
White Hall, AR 71602-8622

Phone

(870) 247-9499

Fax

(870) 247-5312

NPI assigned

Nov 4, 2008

Last updated

Oct 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy M Livingston

Title

Clinic Manager

Phone

(870) 247-9499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doug Coleman, MD PA Doing business as

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1386897312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CLAUD RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716028622",
            "telephone_number": "870-247-9499",
            "fax_number": "870-247-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CLAUD RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716028622",
            "telephone_number": "870-247-9499",
            "fax_number": "870-247-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG COLEMAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "870-247-9499"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC1662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124701001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doug Coleman, MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in White Hall, AR
• Providers in White Hall, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.