Johnny K Coleman (NPI# 1174558845, PAC ID# 2163734872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174558845 |
| PAC ID by PECOS | 2163734872 |
| Professional Enrollment ID | I20150709001427 |
| Full Name | Johnny K Coleman |
| Organization Legal Name | PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D. |
| Address |
3302 Renner Dr Fortuna CA 95540-7103 |
| Phone Number | 7077253318 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062557804 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051318 | REDWOOD MEMORIAL HOSPITAL |
| 050006 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3302 Renner Dr, Fortuna, CA 95540-7103 | 7077253318 | PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D. |
| 3302 Renner Dr, Suite A, Fortuna, CA 95540-7103 | 7077253318 | PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D. |
| Organization Legal Name | PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Olkin | Family Practice | Philip L. Olkin, M.d. and C. Ray Jones, M.d. | 3302 Renner Dr, Suite A, Fortuna, CA 95540-7103 |
| Street Address |
3302 RENNER DR |
| City | FORTUNA |
| State | CA |
| Zip | 95540-7103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Olkin | Family Practice | Philip L. Olkin, M.d. and C. Ray Jones, M.d. | 3302 Renner Dr, Suite A, Fortuna, CA 95540-7103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan D Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Brian Calvert | Optometry | 777 9th St, Fortuna, CA 95540-2001 | |
| Joy B Frasier | Clinical Social Worker | 940 Main St, Fortuna, CA 95540-2007 | |
| Noreen L Edwards | Clinical Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2148 | |
| Alan E French | Optometry | 630 9th St, Fortuna, CA 95540-2324 | |
| Neil Robert Kelley | Podiatry | 1730 Main St, Suite B, Fortuna, CA 95540-2451 | |
| Lauretta R Allen | Physical Therapy | Eureka Physical Therapy | 2600 Newburg Rd, A Phys Therapy Corp, Fortuna, CA 95540-2536 |
| Michael H Crosbie | Chiropractic | 1828 Main St, Fortuna, CA 95540-2717 | |
| Benjamin R Cowell | Chiropractic | 431 N Fortuna Blvd, Fortuna, CA 95540-2724 | |
| Find all physicians in zip 95540 | |||
| City | FORTUNA |
| Zip Code | 95540 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORTUNA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Johnny K Coleman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.