Organization Active NPI

Kamitko Coleman

Doing business as healthy hearts

  • Internist Chiropractor
  • Detroit, MI
National Provider Identifier
1093908436
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
5315023764 Issued in MI
Legal business name
KAMITKO COLEMAN
Doing business as
healthy hearts
Practice address
16200 Burgess
Detroit, MI 48219-4804
Phone
(734) 430-2402
Fax
(248) 864-8299
NPI assigned
Aug 20, 2007
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kamitko Coleman
Title
Owner
Phone
(734) 430-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X 5315023764 MI Primary

Addresses

Primary practice location

16200 Burgess
Detroit, MI 48219-4804

Mailing address

16200 Burgess
Detroit, MI 48219-4804
Phone (734) 430-2402

Other names 1

  • healthy hearts Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1093908436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 BURGESS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194804",
            "telephone_number": "734-430-2402",
            "fax_number": "248-864-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 BURGESS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194804",
            "telephone_number": "734-430-2402",
            "fax_number": "248-864-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMITKO COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KAMITKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-430-2402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "MI",
            "license": "5315023764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthy hearts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.