Gary B. Coleman, M.D.
Individual provider Active NPI Otolaryngology Physician · Columbiana, OH
NPI 1497758643 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1497758643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 35066829 (OH)
- Practice address
- 400 Town Center Ave Ste 301
Columbiana, OH 44408-8312 - Phone
- (330) 892-0442
- Fax
- (330) 892-0932
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Michigan Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SCH Professional Corporation
Practice addresses (Care Compare)
750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442
Hospital & facility affiliations
- Salem Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070205000213 | OH | Practitioner - Otolaryngology | 5991707903 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35066829 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCH Professional Corporation | Otolaryngology | Current |
Accepting new patients |
Locations
5002 Millenial Ln
Canfield, OH 44406
Phone (330) 227-6761
400 Town Center Ave
Ste 301
Columbiana, OH 44408
Phone (330) 482-3871
750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332
2525 Southeast Blvd
Salem, OH 44460
Phone (330) 332-7524
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35066829 | OH | Yes |
Addresses
Primary practice location
400 Town Center Ave Ste 301
Columbiana, OH 44408-8312
Mailing address
400 Town Center Ave Ste 301
Columbiana, OH 44408-8312
Phone (330) 892-0442
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0977377 | Medicaid | OH | |
| 1233464 | Other | OH | UHC INSURANCE |
| 01763 | Other | OH | PARAMOUNT INSURANCE |
| 000000119436 | Other | OH | ANTHEM INSURANCE |
| 406290789 | Other | OH | MED MUTUAL OF OH INS. |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gary.coleman@salemregional.medicity.net |
Other providers in Columbiana, OH
- Sandra Marie Casacchia
- Chad C. Moreschi, O.D.
- City of Columbiana
- Cobbler'S Corner LLC
- Jenna Marie Colatruglio
- Lori J Colian
- Columbiana Exempted Village School District
- Columbiana Family Drug Inc
- Columbiana Family Drug, Inc.
- Columbiana Gastroenterology Group Inc
All providers in Columbiana, OH · Otolaryngology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.