Active NPI
Fred Hughes Coleman III, M.D.
- Maternal & Fetal Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- M-5746
- Practice address
- 333 N 1St St Ste 150
Boise, ID 83702-6135 - Phone
- (208) 381-3088
- Fax
- (208) 381-4314
- NPI assigned
- Feb 17, 2006
- Last updated
- Mar 20, 2026
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | M-5746 | ID | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD11018 | OR |
Addresses
Primary practice location
333 N 1St St Ste 150
Boise, ID 83702-6135
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288226 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-5746 | ID | MD | Maternal & Fetal Medicine Physician |
| MD11018 | OR | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Legacy Clinics LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
300 N Graham St
Ste 100
Portland, OR 97227
Phone (503) 413-1122
2101 NE 139th St
Ste 2
Vancouver, WA 98686
Phone (360) 487-2870
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
Organizations & group practices 10
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.
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
dba St. Charles Family Care - Prineville
- Rural Health Clinic/Center
- Prineville, OR
- NPI 1407178528
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
dba St. Charles Behavioral Health
- Clinical Social Worker
- Bend, OR
- NPI 1780698696
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1891760492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N 1ST ST STE 150",
"city": "BOISE",
"state": "ID",
"postal_code": "837026135",
"telephone_number": "208-381-3088",
"fax_number": "208-381-4314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "FRED",
"middle_name": "HUGHES",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "ID",
"license": "M-5746",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OR",
"license": "MD11018",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288226",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.