Active NPI
Coushatta ER Physicians
- Emergency Medicine Physician
- Coushatta, LA
National Provider Identifier
1427480680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- COUSHATTA ER PHYSICIANS
- Practice address
- 1635 Marvel St
Coushatta, LA 71019-9022 - Phone
- (318) 932-9980
- Fax
- (318) 932-9906
- NPI assigned
- Jul 30, 2013
- Last updated
- Mar 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wyche Taylor Coleman Jr., MD
- Title
- MD/Owner
- Phone
- (318) 932-9980
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
1635 Marvel St
Coushatta, LA 71019-9022
Mailing address
PO Box 52311
Shreveport, LA 71135-2311
Phone (318) 798-4539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2349309 | Medicaid | LA | |
| DU5881 | Other | LA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Coushatta, LA
- NPI 1710984513
Emergency Medicine
-
- Emergency Medicine Physician
- Coushatta, LA
- NPI 1508488024
-
- Critical Care Medicine (Internal Medicine) Physician
- Coushatta, LA
- NPI 1740491505
Emergency Medicine
-
- Medical Physician Assistant
- Coushatta, LA
- NPI 1023780285
-
- Emergency Medicine Physician
- Coushatta, LA
- NPI 1770719668
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1306377619
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1205332053
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1780180547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457049600000",
"number": "1427480680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52311",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711352311",
"telephone_number": "318-798-4539",
"fax_number": "318-798-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MARVEL ST",
"city": "COUSHATTA",
"state": "LA",
"postal_code": "710199022",
"telephone_number": "318-932-9980",
"fax_number": "318-932-9906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUSHATTA ER PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-30",
"last_updated": "2016-03-04",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "WYCHE",
"authorized_official_middle_name": "TAYLOR",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "318-932-9980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2349309",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DU5881",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coushatta, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.