Active NPI
Coleman Orthopaedic LLC
- Orthopaedic Hand Surgery Physician
- Gulf Breeze, FL
National Provider Identifier
1811250640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- ME113317
- Legal business name
- COLEMAN ORTHOPAEDIC LLC
- Practice address
- 1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809 - Phone
- (850) 916-3700
- Fax
- (850) 916-3710
- NPI assigned
- Jun 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander C. Coleman, MD
- Title
- Owner
- Phone
- (850) 916-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME113317 | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Mailing address
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 32561-7809
Phone (850) 916-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006376500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355097600000",
"number": "1811250640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 200",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-916-3700",
"fax_number": "850-916-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 200",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-916-3700",
"fax_number": "850-916-3710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLEMAN ORTHOPAEDIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-18",
"last_updated": "2012-12-10",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-916-3700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME113317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006376500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.