NPIMap

Organization Active NPI

Coatesville Clinic Company, LLC

Doing business as Oaklands Family Medicine

  • Family Medicine Physician
  • Exton, PA
National Provider Identifier
1457309536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COATESVILLE CLINIC COMPANY, LLC
Doing business as
Oaklands Family Medicine
Practice address
460 Creamery Way
Suite 101
Exton, PA 19341-2533
Phone
(610) 524-4106
Fax
(610) 524-4168
NPI assigned
May 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Douglas Newsome
Title
Group VP
Phone
(610) 524-4106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

460 Creamery Way
Suite 101
Exton, PA 19341-2533

Mailing address

460 Creamery Way
Suite 101
Exton, PA 19341-2533
Phone (610) 524-4106

Other names 1

  • Oaklands Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Clinic Company LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

460 Creamery Way
Ste 101
Exton, PA 19341
Phone (610) 524-4106

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457309536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "SUITE 101",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-524-4106",
            "fax_number": "610-524-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CREAMERY WAY",
            "address_2": "SUITE 101",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412533",
            "telephone_number": "610-524-4106",
            "fax_number": "610-524-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "610-524-4106"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oaklands Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.