MR. CHARLES COLEMAN (NPI# 1902909450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902909450 |
| Entity Type | Individual |
| Full Name | MR. CHARLES COLEMAN |
| Credential | PA-C |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-0001 |
| Mailing Address |
Vapshcs 9600 Veterans Drive Sw American Lake Division Lakewood WA 98498-0001 |
| Practice Telephone | 2539680433 |
| Mailing Telephone | 2535828440 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004781 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164737078 | Charles F. Coleman | Dietitian, Registered | 10303 Crystal Fld, San Antonio, TX 78254-6742 | 2010-08-16 |
| 1043397946 | Charles Crary Coleman | Dentist | 2120 Glendale Dr, Plano, TX 75023-5235 | 2006-11-01 |
| 1710522362 | Charles E Coleman | Hearing Instrument Specialist | 1951 Evelyn Byrd Ave Ste F, Harrisonburg, VA 22801-3483 | 2019-11-07 |
| 1417501636 | Charles Edward Coleman | Social Worker | 220 Collingwood St, Ann Arbor, MI 48103-3842 | 2019-07-25 |
| 1316425952 | Charles Ronald Coleman Jr. | Behavioral Analyst | 1551 Shoup Ct, Decatur, GA 30033-4607 | 2018-08-06 |
| 1508093535 | Charles T Coleman | Counselor | 106 Edwards St, Newton, IL 62448-1736 | 2009-06-17 |
| 1396911681 | Charles Coleman | Dentist | 3712 Macarthur Blvd, Suite 201, New Orleans, LA 70114-6802 | 2008-05-06 |
| 1750429502 | Charles Calvin Coleman | Psychiatry & Neurology | 935 Calhoun St, New Orleans, LA 70118-5911 | 2007-02-02 |
| 1326061136 | Charles Steven Coleman | Psychiatry & Neurology | 150 Burnetts Way, Suite 320, Suffolk, VA 23434-8168 | 2006-07-25 |
| 1164457180 | Charles Hamilton Coleman Jr. | Urology | 4350 Towne Centre Dr Ste 2200, Evans, GA 30809-3301 | 2006-07-11 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| 1790177731 | Taylor Marquardt | Physician Assistant | 1624 S I St Ste 305, Tacoma, WA 98405-5093 | 2015-02-27 |
| 1134540909 | Otis Lawrence | Physician Assistant | 608 E 62nd St, Tacoma, WA 98404-1935 | 2013-12-22 |
| 1689905788 | Jason F Naylor | Physician Assistant | 9040 Jackson Avenu, Tacoma, WA 98431-7037 | 2010-01-29 |
| 1952536146 | Eric Vangsnes | Physician Assistant | 9040 Reid St., Attn: Mchj-qcr, Tacoma, WA 98431-1100 | 2009-05-18 |
| 1801048731 | Anthony Cee Charles | Physician Assistant | 1307 Martin Luther King Jr Way, Tacoma, WA 98405-3929 | 2008-10-22 |
| 1083742480 | Darin W Smith | Physician Assistant | 1623 E J St, Tacoma, WA 98421-1602 | 2007-02-28 |
| 1417045857 | Kenneth Leo Fleck | Physician Assistant | 910 Tacoma Ave S, Tacoma, WA 98402-2104 | 2006-10-11 |
| 1912924366 | Marthe Butzen | Physician Assistant | 1708 E. 44th Street, Tacoma, WA 98404 | 2006-07-15 |
| 1013973205 | Sheldon Burdell Watson | Physician Assistant | Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431-1730 | 2006-04-25 |
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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.