MR. GREGORY R COLEMAN


Address: 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005
Phone: 3052434664

MR. GREGORY R COLEMAN (NPI# 1811925761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811925761
Entity Type Individual
Full Name MR. GREGORY R COLEMAN
Credential MD
Practice Address 1611 Nw 12th Ave
Box 016960 M851
Miami
FL 33136-1005
Practice Telephone 3052434664
Practice Fax Number 3052438470
Mailing Telephone 3052434664
Mailing Fax Number 3052438470
Enumeration Date 2006-06-29
Last Update Date 2014-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME81165 FL Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist ME81165 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 2601346-00 05

Other Providers GREGORY COLEMAN

NPI Name Taxonomy Address Enumeration
1700222056 Gregory Watson Coleman Acupuncturist 56 Newport Landing Dr, Novato, CA 94949-8214 2013-05-14
1376691857 Gregory Mark Coleman Occupational Therapist 59 Timber Rdg Rd, Underhill, VT 05489 2007-01-08
1154403988 Gregory Dewayne Coleman Dentist 816 Fm Stafford Ave, Paintsville, KY 41240-1252 2006-10-20
1619452208 Gregory C Coleman Technician 6128 W Sahara Ave, Las Vegas, NV 89146-3051 2018-09-28
1639551203 Gregory Coleman Physical Therapist 5850 Polaris Ave Ste 100, Las Vegas, NV 89118-3185 2015-06-19
1437393725 Gregory John Coleman Psychologist 244 N 5th St, Reading, PA 19601-3304 2009-04-30
1831365865 Gregory Bryant Coleman Physical Therapy Assistant 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 2008-04-30
1588677371 Gregory Coleman Psychologist 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 2006-08-14

Office Location

Street Address 1611 NW 12TH AVE
BOX 016960 M851
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235756297 Floridian Physicians Internal Medicine 4960 Sw 72nd Ave Ste 206, Miami, FL 33155-5549 2020-06-25
1437773918 Elite Med Center Corp Internal Medicine 13155 Sw 134th St Ste 221, Miami, FL 33186-4489 2020-06-01
1841832359 Haytham Elgammal Internal Medicine 7031 Sw 62nd, Miami, FL 33143 2019-10-16
1538714282 Centrum Medical Holdings, LLC Internal Medicine 7600 Nw 19th St Ste 400, Miami, FL 33126-1219 2019-08-08
1659933182 South Florida Healthcare Practitioners Internal Medicine 1040 Biscayne Blvd Apt 1506, Miami, FL 33132-1725 2019-07-04
1134781263 Surgiclear Internal Medicine 1011 Ives Dairy Rd Ste 107, Miami, FL 33179-2536 2019-06-28
1811557523 Luis Rene Velazquez Internal Medicine 8520 Sw 149th Ave Apt 1015, Miami, FL 33193-1446 2019-06-14
1881252088 Miguel A Mujica-baella Md Pa Internal Medicine 15590 Sw 42nd Ln, Miami, FL 33185-4209 2019-06-03
1699249177 Munia and Associates LLC Internal Medicine 9195 Sw 72nd St Ste 210, Miami, FL 33173-3488 2019-01-17
1174094361 I.vizion Internal Medicine 7341 Nw 32nd Ave, Miami, FL 33147-5801 2018-12-16
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Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

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.

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