Individual provider Active NPI

John Michael Coleman, M.D.

  • Emergency Medicine Physician
  • Morgantown, WV
National Provider Identifier
1942436282
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD334799 Issued in PA
Practice address
One Medical Center Drive
Morgantown, WV 26506-9149
Phone
(304) 654-7911
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24416 WV
Emergency Medicine Physician 207P00000X MD334799 PA Primary

Addresses

Primary practice location

One Medical Center Drive
Morgantown, WV 26506-9149

Mailing address

One Medical Center Drive
Morgantown, WV 26506-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120703000277 PA Practitioner - Emergency Medicine 7517122237 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24416WVMDLicensed Practical Nurse
MD334799PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Butler Emergency Physicians Associates, Inc. Emergency Medicine CurrentSince Oct 22, 2022 Accepting new patients
Valley Medical Facilities Inc Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1 Hospital Way
#D
Butler, PA 16001
Phone (724) 284-4550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1942436282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069149",
            "telephone_number": "304-654-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "24416",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD334799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.