Thomas William Coleman, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.TPA.639 Issued in LA

Practice address

1635 Marvel St
Coushatta, LA 71019-9022

Phone

(318) 932-2085

Fax

(318) 932-2215

NPI assigned

Oct 16, 2008

Last updated

Mar 17, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Christus Health Central Louisiana

  dba CHRISTUS Coushatta Ringgold Rural Health Center

  • Rural Health Clinic/Center
  • Ringgold, LA
  • NPI 1205827151
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1770735193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572009",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MARVEL ST",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199022",
            "telephone_number": "318-932-2085",
            "fax_number": "318-932-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.TPA.639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christus Health Central Louisiana (Christus Coushatta Physician Services)
• Christus Health Central Louisiana (CHRISTUS Coushatta Health Care Center)
• Christus Health Central Louisiana (CHRISTUS Coushatta Dental Clinic)
• Christus Health Central Louisiana (CHRISTUS Coushatta Rural Health Center)
• CLD Inc (Green Meadow Haven)
• Wyche Taylor Coleman Jr., M.D.
• Laura Elizabeth Colvin, DPT
• Community Rehabilitation Hospital of Coushatta
• James Merrill Conly, D.D.S.
• Taylor Cook

• Medical Physician Assistant in Coushatta, LA
• Providers in Coushatta, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.