Individual provider Active NPI

John Michael Coleman, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1700846995
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
24195 Issued in MN
Practice address
347 North Smith Ave
Suite 505
Saint Paul, MN 55102-3367
Phone
(651) 220-6260
Fax
(651) 220-7777
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MN24195 MN
Neonatal-Perinatal Medicine Physician 2080N0001X 24195 MN Primary

Addresses

Primary practice location

347 North Smith Ave
Suite 505
Saint Paul, MN 55102-3367

Mailing address

4770 White Bear Parkway, LL
White Bear Lake, MN 55110-3394
Phone (651) 426-0698

Other identifiers 1

IdentifierTypeStateIssuer
357705800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MN24195MNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Newborn Medicine, P.a. Neonatal-Perinatal Medicine Past Accepting new patients
Associates in Newborn Medicine,P.a. Neonatal-Perinatal Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700846995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE BEAR PARKWAY, LL",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103394",
            "telephone_number": "651-426-0698",
            "fax_number": "651-426-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 NORTH SMITH AVE",
            "address_2": "SUITE 505",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551023367",
            "telephone_number": "651-220-6260",
            "fax_number": "651-220-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "MN24195",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MN",
            "license": "24195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357705800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.