DR. RICHARD GLENN COLEMAN (NPI# 1679998017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679998017 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GLENN COLEMAN |
| Credential | M.D. |
| Practice Address |
7103 116th Ave Fennville MI 49408-9730 |
| Practice Telephone | 2692273459 |
| Mailing Telephone | 2692273459 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 4301032173 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235501339 | Richard Coleman I | Counselor | 519 N Fresno St Apt 1, Fresno, CA 93701-2300 | 2015-10-28 |
| 1063761922 | Richard L. M. Coleman | Obstetrics & Gynecology | 25 Ridgewood Dr, Staunton, VA 24401-2423 | 2012-09-06 |
| 1780998179 | Richard Coleman | Physical Therapist | 1835 Lime St, Deland, FL 32720-2150 | 2010-07-28 |
| 1215338678 | Richard Coleman | Social Worker | 801 Douglas Ave Ste 208, Altamonte Spg, FL 32714-5206 | 2014-09-04 |
| 1003153628 | Richard Coleman Jr. | Nurse Practitioner | 128 N. Fm 3167, Rio Grande City, TX 78582 | 2013-01-16 |
| 1992088421 | Richard Coleman | Rehabilitation Practitioner | 4285 N Rancho Dr Ste 160, Las Vegas, NV 89130-3456 | 2011-09-21 |
| 1003097981 | Richard Ira Coleman | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2007-11-19 |
| 1346437589 | Richard Coleman | Counselor | 100 E Market St, Long Beach, CA 90805-5924 | 2007-10-02 |
| 1891825378 | Richard Patrick Coleman | Marriage & Family Therapist | 108 W Victoria St, Gardena, CA 90248-3523 | 2007-03-06 |
| 1356489967 | Richard David Coleman | Marriage & Family Therapist | 3301 E 12th St, Suite 259, Oakland, CA 94601-3424 | 2007-02-03 |
| Street Address |
7103 116TH AVE |
| City | FENNVILLE |
| State | MI |
| Zip Code | 49408-9730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123487 | Eva Emma Schroeder | Community Health Worker | 6676 122nd Ave, Fennville, MI 49408 | 2014-12-23 |
| 1720314586 | Gloria Jean Braswell | Adult Companion | 223 Harbor Lake Drive, Fennville, MI 49408 | 2009-10-28 |
| 1174608962 | Shellie R Alexander | Pharmacist | 211 E Main St M-89, Fennville, MI 49408 | 2006-10-27 |
| 1407941693 | Daniel Mark Alexander | Pharmacist | 211 E Main Street, Fennville, MI 49408 | 2006-10-04 |
| 1578658027 | Phillip Louis Badra | Obstetrics & Gynecology | 2230 Lakeshore Drive, Fennville, MI 49408 | 2006-10-03 |
| 1487664330 | Lakeshore Pharmacies, Inc | Pharmacy | 211 East Main Street, Fennville, MI 49408 | 2006-08-09 |
| 1518022532 | Dennis Anthony Icabone | Dentist | 202 E First Street, Fennville, MI 49408-0269 | 2006-12-27 |
| 1104896315 | Thomas Harold Cassell | Dentist | 200 N Maple St, Fennville, MI 49408-0506 | 2006-01-23 |
| 1174705933 | Kenneth Earl Kratzer | Family Medicine | 200 North Maple Street, Fennville, MI 49408-0664 | 2007-12-03 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| Find all providers in zip 49408 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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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.