Active NPI
Justin D Coomes, M.D.
- Emergency Medicine Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.099677
- Practice address
- 3000 Mack Rd
Fairfield, OH 45014-5335 - Phone
- (513) 603-8128
- NPI assigned
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TP610 | KY | |
| Emergency Medicine Physician | 207P00000X | 35.099677 | OH | Primary |
Addresses
Primary practice location
3000 Mack Rd
Fairfield, OH 45014-5335
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other practice location 1
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TP610 | Other | KY | KENTUCKY BOARD OF MEDICAL LICENSURE |
| 35.099677 | Other | OH | STATE MEDICAL BOARD OF OHIO |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.9 of 100
- Quality
- 91.17
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.099677 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Champaign County LTD | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cincinnati, LTD. | Emergency Medicine | Current | Accepting new patients |
| University Medical Center, Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Hamilton County, LTD. | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of York County, LTD | Emergency Medicine | Past | Accepting new patients |
Locations
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
Organizations & group practices 6
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.
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- Emergency Medicine Physician
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- Emergency Medicine Physician
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- NPI 1922483213
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1699086801
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
-
- Emergency Medicine Physician
- York, PA
- NPI 1972542850
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1861554438
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1730322413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145335",
"telephone_number": "513-603-8128"
}
],
"practiceLocations": [
{
"address_1": "4535 Dressler Rd NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447182545",
"country_code": "US",
"telephone_number": "330-493-4443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOMES",
"first_name": "JUSTIN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-10",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "TP610",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.099677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF MEDICAL LICENSURE",
"identifier": "TP610",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL BOARD OF OHIO",
"identifier": "35.099677",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.