COLEMAN OLIVER CLOUGHERTY (NPI# 1417205642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417205642 |
| Entity Type | Individual |
| Full Name | COLEMAN OLIVER CLOUGHERTY |
| Credential | D.P.M. |
| Practice Address |
6688 Ridge Rd Ste 1110 Parma OH 44129-5706 |
| Practice Telephone | 4408851000 |
| Practice Fax Number | 4408433690 |
| Mailing Telephone | 4408851000 |
| Mailing Fax Number | 4408433690 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
36003722 | OH | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29099 Health Campus Dr, Suite 180, Westlake, OH 441455200 | 4408926628 |
| Street Address |
6688 RIDGE RD STE 1110 |
| City | PARMA |
| State | OH |
| Zip Code | 44129-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295090470 | Mark Christopher Razzante | Podiatrist | 6688 Ridge Rd Ste 1110, Parma, OH 44129-5706 | 2012-07-12 |
| 1164948584 | Mark Razzante Dpm, LLC | Podiatrist | 6688 Ridge Rd Ste 1110, Parma, OH 44129-5706 | 2017-08-17 |
| 1902322324 | Cleveland Lower Extremity Specialists, LLC | Podiatrist | 6688 Ridge Rd Ste 1110, Parma, OH 44129-5706 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819504 | Evolve Behavioral Health LLC. | Counselor | 5788 Ridge Rd Ste 3, Parma, OH 44129 | 2018-07-30 |
| 1952755688 | Lauren Williams | Speech-Language Pathologist | 6907 Brownfield Drive, Parma, OH 44129 | 2016-04-19 |
| 1447611579 | Chidozie Odigwe | Student in an Organized Health Care Education/Training Program | 7007 Powers Boulevard, Parma, OH 44129 | 2016-03-17 |
| 1700296589 | Kellie Richardson | Home Health Aide | 8402 Deerfield Drive, Parma, OH 44129 | 2014-05-02 |
| 1285982843 | John Eugene Huron | Dentist | 5657 Ridge Road, Parma, OH 44129 | 2012-08-29 |
| 1952659682 | Rima Patel | Optometrist | 7101 Lassiter Dr., Parma, OH 44129 | 2012-08-28 |
| 1740570464 | Wig Fashions Inc | Durable Medical Equipment & Medical Supplies | 5466 Pearl Road, Parma, OH 44129 | 2011-04-14 |
| 1447490883 | Adam D. Wysocki | Chiropractor | 5348 Pearl Road, Parma, OH 44129 | 2009-02-25 |
| 1184888547 | Virginia Ruth Ripepi | Registered Nurse | 8003 Dorothy Avenue, Parma, OH 44129 | 2008-07-15 |
| 1871787879 | Roger Goomber | Anesthesiology | 6305 Powers Blvd, Mac 4, Parma, OH 44129 | 2007-09-01 |
| Find all providers in zip 44129 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295090470 | Mark Christopher Razzante | Podiatrist | 6688 Ridge Rd Ste 1110, Parma, OH 44129-5706 | 2012-07-12 |
| 1427041565 | William Ellis Donahue Jr. | Podiatrist | 1013 Rockside Rd Ste B, Parma, OH 44134-2700 | 2005-08-24 |
| 1164948584 | Mark Razzante Dpm, LLC | Podiatrist | 6688 Ridge Rd Ste 1110, Parma, OH 44129-5706 | 2017-08-17 |
| 1902322324 | Cleveland Lower Extremity Specialists, LLC | Podiatrist | 6688 Ridge Rd Ste 1110, Parma, OH 44129-5706 | 2017-08-17 |
| 1083971659 | Dpmkrywiakproh LLC | Podiatrist | 5500 Ridge Rd, 138, Parma, OH 44129-2394 | 2012-04-19 |
| 1790079812 | Stacie Dyan Anderson | Podiatrist | 5625 Ridge Rd, Parma, OH 44129-2633 | 2011-06-06 |
| 1720306194 | Dr James Bangayan Foot & Ankle Specialty Inc | Podiatrist | 6681 Ridge Rd, Suite 305, Parma, OH 44129-5713 | 2010-05-11 |
| 1174626956 | Frederick George Schmieder Jr. | Podiatrist | 12301 Snow Rd, Parma, OH 44130-1002 | 2006-09-06 |
| 1477569051 | James Patrick Bangayan | Podiatrist | 6681 Ridge Rd, Suite 302, Parma, OH 44129-5713 | 2006-08-01 |
| 1306863238 | Salvatore P. Sidoti, Dpm Inc | Podiatrist | 6681 Ridge Rd, Suite 405, Parma, OH 44129-5705 | 2006-07-16 |
| Find all providers in PARMA | ||||
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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.