Edward O Coleman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO306658R Issued in LA

Practice address

109 Regency PL
West Monroe, LA 71291-4453

Phone

(318) 812-9999

Fax

(318) 323-9339

NPI assigned

Mar 17, 2006

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226
  Medicare reassignment
• Affinity Health Group, LLC

  dba Affinity Pediatrics Clinic

  • Pediatrics Physician
  • Monroe, LA
  • NPI 1669918819
  NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1730158965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 REGENCY PL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914453",
            "telephone_number": "318-812-9999",
            "fax_number": "318-323-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "EDWARD",
        "middle_name": "O",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "LA",
            "license": "MD.06658R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "DO306658R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349321",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Robin Coffman, M.D.
• Angela Coker, MS CCC-SLP
• Shirley Coker, LPC
• Alicia Breann Cole, CIT
• Megan Cole
• Margaret Coleman
• Krystle Comanche
• Ashley Lauren Comeaux, RD
• Comfort and Care Medical Transportation LLC
• Commcare Corporation (Ridgecrest Community Care Center)

• Family Medicine Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.