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NPI Code Detail

MEDICARE: DR. GARY B. COLEMAN M.D.

MEDICARE:  DR. GARY B. COLEMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician35066829OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21233464OTHEROHUHC INSURANCE
301763OTHEROHPARAMOUNT INSURANCE
4000000119436OTHEROHANTHEM INSURANCE
5406290789OTHEROHMED MUTUAL OF OH INS.

General Provider Information

NPI Number : 1497758643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY B. COLEMAN M.D.
Provider Business Mailing Address
First Line : 400 TOWN CENTER AVE STE 301
Second Line :
City : COLUMBIANA
State : OH
Zip : 44408-8312
Country : US
Telephone Number : 330-892-0442
Fax Number : 330-892-0932
Provider Business Practice Location Address
First Line : 400 TOWN CENTER AVE STE 301
Second Line :
City : COLUMBIANA
State : OH
Zip : 44408-8312
Country : US
Telephone Number : 330-892-0442
Fax Number : 330-892-0932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/18/2024

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Directions to “ DR. GARY B. COLEMAN M.D.” Practice Location

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