Individual provider Active NPI

Gary B. Coleman, M.D.

  • Otolaryngology Physician
  • Columbiana, OH
National Provider Identifier
1497758643
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35066829 Issued in 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
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35066829 OH Primary

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 5

IdentifierTypeStateIssuer
1233464OtherOHUHC INSURANCE
406290789OtherOHMED MUTUAL OF OH INS.
01763OtherOHPARAMOUNT INSURANCE
000000119436OtherOHANTHEM INSURANCE
0977377MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gary.coleman@salemregional.medicity.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070205000213 OH Practitioner - Otolaryngology 5991707903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066829OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation Otolaryngology CurrentSince Nov 1, 2021 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

Interoperability endpoints

  • Direct secure messaging: gary.coleman@salemregional.medicity.net

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1497758643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWN CENTER AVE STE 301",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088312",
            "telephone_number": "330-892-0442",
            "fax_number": "330-892-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWN CENTER AVE STE 301",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088312",
            "telephone_number": "330-892-0442",
            "fax_number": "330-892-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "GARY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35066829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC INSURANCE",
            "identifier": "1233464",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUTUAL OF OH INS.",
            "identifier": "406290789",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT INSURANCE",
            "identifier": "01763",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000119436",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0977377",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.coleman@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "400 Town Center Ave Ste 301",
            "city": "Columbiana",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444088312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.