Walter Barry Coleman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901000563 Issued in MI

Practice address

9001 15 Mile Rd
Ste a
Sterling Heights, MI 48312-3611

Phone

(586) 979-0560

Fax

(586) 979-8766

NPI assigned

Dec 13, 2005

Last updated

Sep 20, 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Walter B Coleman P.C.

  • Durable Medical Equipment & Medical Supplies
  • Sterling Heights, MI
  • NPI 1598934952
  NPD Authorized official
• Dr. Walter B. Coleman PC

  • Foot & Ankle Surgery Podiatrist
  • Sterling Heights, MI
  • NPI 1205974425
  Authorized official Same address or phone

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1407831308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-0560",
            "fax_number": "586-949-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-0560",
            "fax_number": "586-979-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "WALTER",
        "middle_name": "BARRY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002476",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55051630",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN DME",
            "identifier": "0621950001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamika Cole
• Tyshuron Cole, BT
• Andrew Coleman, LMSW
• Nahja Mercedez Coleman
• Nijah Coleman
• Katelyn Alexandra Coles
• Collaborative Rehabilitation LLC
• Madeline Collet
• Maricar Collins, LMSW
• Rachele Collins

• Podiatrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.