JACK ANDREW COLEMAN JR. MD
NPI 1699764258
Otolaryngology in Siloam Springs, AR

Active since October 17, 2005
1101-3 N. PROGRESS AVE., SILOAM SPRINGS, AR 72761(479) 549-4055(479) 549-4059 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Andrew Coleman Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ANDREW COLEMAN JR. MD (NPI 1699764258) is an individual otolaryngology provider in Siloam Springs, Arkansas, licensed in Tennessee (MD16783) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1699764258
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJACK ANDREW COLEMAN JR.Credential: MD
Location Address1101-3 N. PROGRESS AVE.Siloam Springs, AR 72761-4343
Mailing Address1101-3 N. Progress Ave.Siloam Springs, AR 72761-4343 · (479) 549-4055 · Fax (479) 549-4059
Fax(479) 549-4059
Sole ProprietorNo
Enumeration DateOctober 17, 2005
Last NPPES UpdateMay 20, 2013
NPI 1699764258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TN · MD16783
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1101-3 N. PROGRESS AVE., Siloam Springs, AR 72761

Other Identifiers 3

Medicare UPIND71834
Medicare ID-Type Unspecified3017984
Medicaid3017988TN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Coleman's NPI number?

The NPI number for Jack Coleman is 1699764258. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is Jack Coleman located?

Jack Coleman practices at 1101-3 N. Progress Ave., Siloam Springs, AR 72761. The listed phone number is (479) 549-4055.

What is Jack Coleman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Jack Coleman was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.