SHUNDOBIE T COLEMAN (NPI# 1275939639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275939639 |
Entity Type | Individual |
Full Name | SHUNDOBIE T COLEMAN |
Practice Address |
199 Raymond Rd Ste D Jackson MS 39204-2864 |
Practice Telephone | 8008074858 |
Practice Fax Number | 8003131036 |
Mailing Telephone | 8008074858 |
Mailing Fax Number | 8003131036 |
Enumeration Date | 2014-11-13 |
Last Update Date | 2016-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | Other Service Providers | ||
N | 172A00000X | Driver | Other Service Providers |
Street Address |
199 RAYMOND RD STE D |
City | JACKSON |
State | MS |
Zip Code | 39204-2864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
Find all providers in zip 39204 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770970774 | Cassandra Malone | Contractor | 931 Highway 80 W Unit 218d, Jackson, MS 39204-3914 | 2015-04-17 |
1104225655 | Jessica Singleton | Contractor | 5301 Venetian Way, Jackson, MS 39211-4513 | 2014-08-21 |
1992122550 | Laura Kunstmann | Contractor | 311 Old Spanish Trl, Jackson, MS 39212-3210 | 2014-03-20 |
1194160424 | Sarah Ann Payton | Contractor | 5637 Heard St, Jackson, MS 39206-2907 | 2013-04-30 |
1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
1437438223 | Andrea Osman | Contractor | 6431 Jordan Rd, Jackson, MI 49201-9582 | 2011-08-10 |
1083941926 | Sandra Kay Kennedy Saam | Contractor | 5755 South Hwy 89, #15, Jackson, WY 83001 | 2009-11-13 |
1396943288 | Jamie Rosanne Nipper | Contractor | 224 Whetstone Way, Jackson, MO 63755-3053 | 2007-07-03 |
1053515189 | James A. Watkins | Contractor | 931 N Highland Ave, Jackson, TN 38301-4458 | 2007-06-13 |
1760686323 | Millers Shoe | Contractor | 103 W Michigan Ave, Jackson, MI 49201-1303 | 2007-06-14 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.