Healthcare Provider Details

I. General information

NPI: 1194178616
Provider Name (Legal Business Name): COLMAN JAMES HATTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FODEN RD STE 103
SOUTH PORTLAND ME
04106-2327
US

IV. Provider business mailing address

1500 E. MEDICAL CENTER DR.
ANN ARBOR MI
48109
US

V. Phone/Fax

Practice location:
  • Phone: 207-828-1122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD25901
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD25901
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: