NPIMap

Individual provider Active NPI

John T Coates, DO

  • Family Medicine Physician
  • North Baltimore, OH
National Provider Identifier
1437199684
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007620 Issued in OH
Practice address
209 Briar Hill Rd
Suite a
North Baltimore, OH 45872-9504
Phone
(419) 257-1417
Fax
(419) 257-7408
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007620 OH Primary

Addresses

Primary practice location

209 Briar Hill Rd
Suite a
North Baltimore, OH 45872-9504

Mailing address

640 S Wintergarden Rd
Suite B
Bowling Green, OH 43402-3544
Phone (419) 353-7069

Other identifiers 2

IdentifierTypeStateIssuer
2274686MedicaidOH
DA5101OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000714 OH Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1052348737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1840 E Gypsy Lane Rd
Bowling Green, OH 43402-9173
Phone (419) 352-8402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wood County Auditor CurrentSince Oct 21, 2024 Accepting new patients
Wood County Auditor CurrentSince Oct 21, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1840 E Gypsy Lane Rd
Bowling Green, OH 43402
Phone (419) 352-8402

209 Briar Hill Rd
Ste A
North Baltimore, OH 45872
Phone (419) 257-1417

Interoperability endpoints

  • Direct secure messaging: john.coates.p1@direct.wcchwc.nextgenshare.com
  • Direct secure messaging: john.coates.1@20880.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wood County Community Health CenterBowling Green, OH, CCN 361052 Federally qualified health center Contracted Managing Employee May 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1437199684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WINTERGARDEN RD",
            "address_2": "SUITE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434023544",
            "telephone_number": "419-353-7069",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BRIAR HILL RD",
            "address_2": "SUITE A",
            "city": "NORTH BALTIMORE",
            "state": "OH",
            "postal_code": "458729504",
            "telephone_number": "419-257-1417",
            "fax_number": "419-257-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2274686",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA5101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baltimore, OH

Sources for this page

Verify at the official NPI Registry.