Active NPI
Michael Wayne Coleman, DO
- Family Medicine Physician
- Albany, MO
National Provider Identifier
1912904632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 110838
- Practice address
- 606 N College St
Albany, MO 64402-1432 - Phone
- (660) 726-5592
- Fax
- (660) 726-3992
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 110838 | MO | Primary |
Addresses
Primary practice location
606 N College St
Albany, MO 64402-1432
Mailing address
606 N College St
Albany, MO 64402-1432
Phone (660) 726-5592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25664031 | Other | MO | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110838 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912904632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 N COLLEGE ST",
"city": "ALBANY",
"state": "MO",
"postal_code": "644021432",
"telephone_number": "660-726-5592",
"fax_number": "660-726-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N COLLEGE ST",
"city": "ALBANY",
"state": "MO",
"postal_code": "644021432",
"telephone_number": "660-726-5592",
"fax_number": "660-726-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "110838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "25664031",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.