Active NPI
Perry G. Coalmon, M.D.
- General Practice Physician
- Milwaukee, WI
National Provider Identifier
1992840177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 30001
- Practice address
- 5325 W Burleigh St
Milwaukee, WI 53210-1623 - Phone
- (414) 488-9512
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 30001 | WI | Primary |
Addresses
Primary practice location
5325 W Burleigh St
Milwaukee, WI 53210-1623
Mailing address
5325 W Burleigh St
Milwaukee, WI 53210-1623
Phone (920) 712-1428
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30001 | WI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arunaobi Integrated Medical Behavioral Health Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Milwaukee, WI
- NPI 1245692623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1992840177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101623",
"telephone_number": "920-712-1428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101623",
"telephone_number": "414-488-9512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COALMON",
"first_name": "PERRY",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "30001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.