Stephen D. Coleman, MD
Individual provider Active NPI Family Medicine Physician · Salt Lake City, UT
NPI 1891720124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891720124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3546671205 (UT)
- Practice address
- 6360 S 3000 E
Ste 100
Salt Lake City, UT 84121-6923 - Phone
- (801) 365-1032
- Fax
- (801) 365-1033
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Foothill Clinic LLC
Practice addresses (Care Compare)
2295 S Foothill Dr
Salt Lake City, UT 84109-4000
Phone (801) 486-3021
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 11 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040818000240 | UT | Practitioner - Family Practice | 3476457243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3546671205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Clinic, LLC | Family Medicine | Current |
Accepting new patients |
| Foothill Clinic, LLC | Family Medicine | Past | Accepting new patients |
Locations
13953 S Bangerter Pkwy
Draper, UT 84020
Phone (385) 900-4090
6360 S 3000 E
Ste 100
Salt Lake Cty, UT 84121
Phone (801) 365-1032
2295 S Foothill Dr
Slc, UT 84109
Phone (801) 486-3021
Interoperability endpoints
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/FFC/api/FHIR/R4
- scoleman23173@foothillfamilyclinic.gardenplot.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3546671205 | UT | Yes |
Addresses
Primary practice location
6360 S 3000 E
Ste 100
Salt Lake City, UT 84121-6923
Mailing address
6360 S 3000 E
Ste 100
Salt Lake City, UT 84121-6923
Phone (801) 365-1032
Other providers in Salt Lake City, UT
- James A Coleman
- Julia Coleman
- Landon Wayne Coleman
- Lee Ann Coleman
- Nathan Coleman
- Steven Coleman
- Angelique Colemere
- Christine Coles
- McKenna L. Coletti
- Richard Marlin Coley
All providers in Salt Lake City, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.