Coleman O. Clougherty, D.P.M., LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36.003722 Issued in OH

Legal business name

COLEMAN O. CLOUGHERTY, D.P.M., LLC

Practice address

29099 Health Campus Dr
Suite 180
Westlake, OH 44145-5200

Phone

(440) 892-6628

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Coleman Oliver Clougherty, D.P.M.

Title

Physician

Phone

(614) 213-1337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1265813323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR",
            "address_2": "SUITE 180",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-892-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR",
            "address_2": "SUITE 180",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-892-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN O. CLOUGHERTY, D.P.M., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "CLOUGHERTY",
        "authorized_official_first_name": "COLEMAN",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-213-1337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Dillon Cody, MSW, LISW
• Rachel Elizabeth Coe, D.O.
• Hannah Kathleen Colatruglio, MA, COBA
• Valerie Coldren, CNP
• Kandace Cole
• Cameron Michael Coleman, APRN-CNP
• John E. Coletta, M.D.
• Thomas Anthony Coletto, D.C.
• Jordin Collier
• Daniel Robert Collins, LCDC II

• Foot & Ankle Surgery Podiatrist in Westlake, OH
• Providers in Westlake, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.