MR. WYCHE TAYLOR COLEMAN JR. (NPI# 1710984513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710984513 |
| Entity Type | Individual |
| Full Name | MR. WYCHE TAYLOR COLEMAN JR. |
| Credential | M.D. |
| Practice Address |
1633 Marvel St Coushatta LA 71019-9022 |
| Practice Telephone | 3189329980 |
| Practice Fax Number | 3189329906 |
| Mailing Telephone | 3189329980 |
| Mailing Fax Number | 3189329906 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 015031 | LA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 015031 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1303003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841491826 | Wyche Taylor Coleman IIi | Ophthalmology | 1501 Kings Hwy, Department of Family Medicine, Shreveport, LA 71103-4228 | 2007-05-29 |
| Street Address |
1633 MARVEL ST |
| City | COUSHATTA |
| State | LA |
| Zip Code | 71019-9022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437639952 | Jeanette Tilley | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2018-08-14 |
| 1902391170 | Amanda Keator Celles | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2018-06-28 |
| 1366730558 | Jere Welch Thompson | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2011-07-21 |
| 1487865937 | Martin John Carter | Emergency Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2007-05-25 |
| 1306979554 | Mary Kate Young | Nurse Practitioner | 1633 Marvel St, Coushatta, LA 71019-9022 | 2007-03-14 |
| 1912935727 | Don Gregory Bell | Family Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2006-06-29 |
| 1801831169 | D Gregory Bell Md and Willis-knighton Medical Center | Family Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2006-06-19 |
| 1740261650 | Gavin F Chico | Specialist | 1633 Marvel St, Coushatta, LA 71019-9022 | 2005-11-08 |
| 1780673665 | Christopher S. Snead | Internal Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
| 1750824900 | Ruby Braxton | Counselor | 936 E. Carroll Street, Coushatta, LA 71019 | 2016-11-21 |
| 1447621222 | Ranette Smith | Counselor | 1414 Leigh Street, Coushatta, LA 71019 | 2015-10-19 |
| 1205157237 | Red River Parish Police Jury | Ambulance | 525 Rush Street, Coushatta, LA 71019 | 2010-06-14 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1437346186 | Specialty Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 | 2007-09-26 |
| 1679785976 | Red River Council On Aging, Inc. | Adult Companion | 1825 Front Street, Coushatta, LA 71019 | 2007-05-07 |
| 1699805515 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 S, Coushatta, LA 71019 | 2007-03-07 |
| 1629108386 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 South, Coushatta, LA 71019 | 2007-03-06 |
| 1245366251 | The Will of God Ministries Outreach Program | Preferred Provider Organization | 1113 Caliope Street, Coushatta, LA 71019 | 2007-02-26 |
| Find all providers in zip 71019 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073861837 | Joshua R Cason Limited Apmc | Family Medicine | 1110 Ringgold Ave, Suite B, Coushatta, LA 71019-9073 | 2012-08-27 |
| 1629146006 | Esther M. Holloway, M.d., Apmc | Family Medicine | 1633 Marvel Street, Coushatta, LA 71019 | 2006-12-01 |
| 1003984493 | Wyche T. Coleman, M.d., Limited | Family Medicine | 1633 Marvel Street, Coushatta, LA 71019 | 2006-12-01 |
| 1912935727 | Don Gregory Bell | Family Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2006-06-29 |
| 1801831169 | D Gregory Bell Md and Willis-knighton Medical Center | Family Medicine | 1633 Marvel St, Coushatta, LA 71019-9022 | 2006-06-19 |
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|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| 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.