JOHN B COLEMAN (NPI# 1437278330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437278330 |
Entity Type | Individual |
Full Name | JOHN B COLEMAN |
Credential | PA-C |
Practice Address |
1 Ford Pl # 2e Detroit MI 48202-3450 |
Mailing Address |
One Henry Ford Place, 2e Detroit MI 48202 |
Practice Telephone | 2488600037 |
Mailing Telephone | 2488600037 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2012-11-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004268 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | NCCPA CERTIFICATION | 1063053 | 01 |
MI | PHYSICIAN ASSISTANT LICENSE | 5601004268 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316478258 | John Robert Coleman | Anesthesiology | 1100 9th Ave Ms: M4-pfs, Seattle, WA 98101 | 2017-03-22 |
1386187003 | John Coleman | Occupational Therapy Assistant | 626 N Tejon St Apt 1, Colorado Springs, CO 80903-1079 | 2016-11-29 |
1760873525 | John Frederick Coleman | Anesthesiology | 10786 Peninsula Dr, Traverse City, MI 49686-9202 | 2015-02-13 |
1831469816 | John Coleman | Counselor | 263 Port Richmond Ave, Staten Island, NY 10302-1704 | 2012-01-06 |
1467766444 | John Andrew Coleman | Pharmacist | 8716 Nathans Cove Ct, Jacksonville, FL 32256-9536 | 2010-08-02 |
1811213762 | John Thomas Coleman | Physical Therapy Assistant | 153 Merion Ln, Reading, PA 19607-3405 | 2010-04-18 |
1932341310 | John Coleman | Community Health Worker | Worcester Co. Health Dept. - Berlin Health Center, 9730 Healthway Drive, Berlin, MD 21811 | 2009-03-31 |
1831397710 | John Alden Coleman IIi | Dentist | 110 Escondido Ave, Ste. 102, Vista, CA 92084-6037 | 2007-07-03 |
1710198189 | John Alden Coleman | Dentist | 110 Escondido Ave Ste 102, Vista, CA 92084-6058 | 2007-05-25 |
1467522565 | John Henry Coleman | Dentist | 1162 S Line St, Grenada, MS 38901-4239 | 2006-11-08 |
Street Address |
1 FORD PL # 2E |
City | DETROIT |
State | MI |
Zip Code | 48202-3450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366480980 | Pranay R Kanake | Anesthesiology | 1 Ford Pl # 2e, Detroit, MI 48202-3450 | 2006-06-04 |
1568898278 | Robin L Jones | Nurse Practitioner | 1 Ford Pl # 2e, Detroit, MI 48202-3450 | 2013-09-26 |
1588953657 | Daniel Aaron Zeldes | Anesthesiology | 1 Ford Pl # 2e, Detroit, MI 48202-3450 | 2011-03-29 |
1861793564 | Cheryl C Brown-deacon | Nurse Practitioner | 1 Ford Pl # 2e, Detroit, MI 48202-3450 | 2010-11-11 |
1851528574 | Jessica Marie Sabo | Physician Assistant | 1 Ford Pl # 2e, Detroit, MI 48202-3450 | 2009-06-20 |
1528108867 | David Dale Wageman | Emergency Medicine | 1 Ford Pl # 2e, Detroit, MI 48202-3450 | 2007-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
Find all providers in zip 48202 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831340355 | Antonia L Navarro | Physician Assistant | University Physician Group Oncology, 4100 John R, Detroit, MI 48201-2013 | 2008-10-02 |
1104974443 | Amy B Oatfield | Physician Assistant | Henry Ford Hospital Trauma and Critical Care Cfp-1, 2799 West Grand Blvd, Detroit, MI 48202 | 2007-01-05 |
1295750677 | Ingrid Dominic Mitchell | Physician Assistant | 18254 Livernois Ave Ste 1, Detroit, MI 48221-4214 | 2006-07-13 |
1952397291 | Kelly Michelle Brown | Physician Assistant | 22151 Moross Rd Ste 320, Maternal Fetal Medicine St John Hospital & Medical Cen, Detroit, MI 48236-2196 | 2005-09-22 |
1467067975 | Jerrica Clemens | Physician Assistant | 4100 Woodward Ave, Detroit, MI 48201-2173 | 2020-09-11 |
1679195176 | Shane Michael Dignan | Physician Assistant | 259 Mack Ave, Detroit, MI 48201-2427 | 2020-05-07 |
1174154843 | Weston Alexander Davis | Physician Assistant | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-01-30 |
1689225443 | Alaa Eddin Tahboub | Physician Assistant | 4771 Michigan Ave, Detroit, MI 48210-9718 | 2019-09-24 |
1609338367 | Aanchal Bhojwani | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-04-02 |
1952883068 | Jeremy Lynn Herzberg | Physician Assistant | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2018-09-05 |
Find all providers in DETROIT |
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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.