DR. AMY BALL COLEMAN (NPI# 1770512303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770512303 |
| Entity Type | Individual |
| Full Name | DR. AMY BALL COLEMAN |
| Credential | M.D. |
| Practice Address |
1203 24th Ave Meridian MS 39301-3926 |
| Mailing Address |
Po Box 5653 Meridian MS 39302-5653 |
| Practice Telephone | 6014851015 |
| Practice Fax Number | 6016939314 |
| Mailing Telephone | 6014851015 |
| Mailing Fax Number | 6016939314 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
14939 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121946 | 05 | |
| MS | MEDICARE GROUP | 512G700091 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720698848 | Amy Marie Coleman | Technician | 226 Ward Ave, Keyser, WV 26726-2538 | 2020-08-04 |
| 1689965568 | Amy Jo Coleman | Physical Therapist | 8300 West Ridge Road, Girard, PA 16417-8701 | 2011-04-26 |
| 1326378787 | Amy Lynn Coleman | Speech-Language Pathologist | 1700 Appomattox Rd, Lexington, KY 40504-2210 | 2010-01-07 |
| 1710971775 | Amy Elizabeth Coleman | Family Medicine | 3099 Helmsdale Pl, Lexington, KY 40509-2213 | 2005-09-07 |
| 1932655370 | Amy J.k. Coleman | Genetic Counselor, MS | 701 Ostrum St Ste 303, Fountain Hill, PA 18015-1152 | 2016-08-26 |
| 1376922633 | Amy Coleman | Social Worker | 1 Gustave L. Levy Place, Box, New York, NY 10029-6574 | 2015-05-20 |
| 1518344985 | Amy Coleman | Behavioral Analyst | 11790 Jefferson Ave, Suite 300, Newport News, VA 23606-4416 | 2015-05-05 |
| 1033543871 | Amy L Coleman | Social Worker | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-08-28 |
| 1518207273 | Amy L Coleman | Advanced Practice Midwife | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2013-02-18 |
| 1164706487 | Amy Christine Coleman | Social Worker | 921 Chatham Ln Ste 112, Columbus, OH 43221-2418 | 2011-10-05 |
| Street Address |
1203 24TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009840 | Mary Ann Cowart | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-09 |
| 1790958213 | Rachel S Chard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2008-04-04 |
| 1235238965 | Meridian Radiology Associates Pa | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2006-09-21 |
| 1831170208 | John R Blackwell | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1659352011 | Michael Stacy Thaggard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1770564411 | William D. Armstrong | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520415 | Intermountain Medical Imaging LLC | Radiology | 2929 E Magic View Dr, Meridian, ID 83642-3560 | 2006-05-27 |
| 1124009840 | Mary Ann Cowart | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-09 |
| 1558369645 | Sandra H. Pupa | Radiology | 1730a 14th St, Meridian, MS 39301-4140 | 2005-07-12 |
| 1790958213 | Rachel S Chard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2008-04-04 |
| 1801072632 | William Tidwell | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2008-01-10 |
| 1316095136 | Rural Medical Associates, Inc. | Radiology | 1730a 14th St, Meridian, MS 39301-4140 | 2007-01-08 |
| 1235238965 | Meridian Radiology Associates Pa | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2006-09-21 |
| 1831170208 | John R Blackwell | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1659352011 | Michael Stacy Thaggard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1558342279 | Charles Adrian Ray IIi | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2005-11-09 |
| Find all providers in MERIDIAN | ||||
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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.