Robert E Coleman, D.O.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

00001624 Issued in WA

Practice address

10TH and Tacoma
Sunnyside, WA 98944-3022

Phone

(509) 837-4366

Fax

(509) 837-4344

NPI assigned

Jan 8, 2007

Last updated

Feb 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Radiology Consultants of the Lower Valley

  • Diagnostic Ultrasound Physician
  • Sunnyside, WA
  • NPI 1750569208
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1174671192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989443022",
            "telephone_number": "509-837-4366",
            "fax_number": "509-837-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10TH AND TACOMA",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989443022",
            "telephone_number": "509-837-4366",
            "fax_number": "509-837-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "WA",
            "license": "00001624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7094824",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Chavez
• Nicolas Ramon Chavez
• City of Sunnyside
• Suzanne S Cleland Zamudio, MD
• Colleen Terese Coleman
• Complete Therapy Services, PLLC
• Comprehensive Healthcare
• Comprehensive Healthcare
• Anne Concienne, R.N.
• Jared Helaman Condie, DMD

• Nuclear Radiology Physician in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Nuclear Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.