NPIMap

Individual provider Active NPI

Jessica Lynne Coleman, D.O.

  • Family Medicine Physician
  • Canton, OH
National Provider Identifier
1609166479
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.011175 Issued in OH
Practice address
236 3Rd St SW
Canton, OH 44702-1607
Phone
(330) 754-4431
Fax
(330) 244-8839
NPI assigned
Apr 14, 2011
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.011175 OH Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 0102204138 VA

Addresses

Primary practice location

236 3Rd St SW
Canton, OH 44702-1607

Mailing address

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jessica.coleman@direct.aultman.org Health Information Exchange (HIE) aultman hospital

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
I20170927004295 OH Practitioner - Geriatric Medicine 4688989775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skill Doc 101 LLCGroup PAC ID 1658509369, 34 clinicians
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Pinnacle Care Providers, LLCGroup PAC ID 1850437948, 40 clinicians

Practice addresses (Care Compare)

150 Omni Lake Pkwy
Hudson, OH 44236-2856
Phone (234) 284-4504

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

236 3Rd St SW
Canton, OH 44702-1607
Phone (330) 754-4431

251 N Cleveland Massillon Rd
Akron, OH 44333-2423
Phone (330) 828-1371

2821 Woodlawn Ave NW
Canton, OH 44708-1423
Phone (330) 479-4800

3146 Whitewood St NW
North Canton, OH 44720-8388
Phone (330) 499-1399

3975 Everett Rd
Richfield, OH 44286-9730
Phone (330) 313-7000

5511 Fishcreek Rd
Stow, OH 44224-1435
Phone (330) 342-0934

635 N Huntington St
Medina, OH 44256-1871
Phone (330) 591-2777

73 E Ave
Tallmadge, OH 44278-2349
Phone (330) 247-1875

9500 Broadview Rd
Broadview Heights, OH 44147-2302
Phone (440) 596-3047

970 Sumner Pkwy
Copley, OH 44321-1693
Phone (330) 664-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.74 of 100Reported as group
Quality
80.95
Improvement activities
40
Cost
84.55

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
63.89
Promoting interoperability
99
Improvement activities
40
Cost
72.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011175OHMDFamily Medicine Physician
0102204138VAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skill Doc 101, LLC CurrentSince Jul 18, 2023 Accepting new patients
Pai Participant 1 LLC CurrentSince Mar 2, 2025 Accepting new patients
Pinnacle Care Providers, LLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Altercare of Cuyahoga Falls Center for Rehabilitation & Nursing Care I Past Accepting new patients
Phoenix Maple Heights Operating Co., LLC Past Accepting new patients

Locations

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4580 Stephens Cir NW
Ste 202
Canton, OH 44718
Phone (330) 597-2815

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

Interoperability endpoints

  • Direct secure messaging: jessica.coleman@direct.aultman.org

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
Astoria Skilled Nursing and RehabilitationCanton, OH, CCN 366391 Skilled nursing facility Adp of the SNF Jul 3, 2025

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 5

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 12

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1609166479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 3RD ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021607",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011175",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0102204138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jessica.coleman@direct.aultman.org",
            "affiliation": "Y",
            "affiliationName": "aultman hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.