Cheryl Colegrove, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50000763 Issued in OH

Practice address

332 Congress Park Dr
Dayton, OH 45459-4133

Phone

(800) 726-3627

NPI assigned

May 2, 2007

Last updated

Aug 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Emergency Physician Associates of Ohio, Inc

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1093059164
  Medicare reassignment
• Qualified Emergency Specialists Inc

  • Emergency Medicine Physician
  • Montgomery, OH
  • NPI 1700872728
  Medicare reassignment
• Dr Melissa Gargasz Urgent Care LLC

  dba Waynesville Urgent Care

  • Urgent Care Clinic/Center
  • Waynesville, OH
  • NPI 1184008070
  NPD
• Clinton Memorial Hospital of Wilmington Clinton County Ohio

  dba CMH Regional Health System

  • Rural Acute Care Hospital
  • Wilmington, OH
  • NPI 1427064641
  NPD (past)
• Hans Zwart, M.D. and Associates, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kettering, OH
  • NPI 1174578447
  NPD (past)
• Premier Health Specialists Inc

  dba Advanced Ankle and Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1902211287
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1285855510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CONGRESS PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594133",
            "telephone_number": "800-726-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 CONGRESS PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594133",
            "telephone_number": "800-726-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEGROVE",
        "first_name": "CHERYL",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000763",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50-000763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Cole
• Sarah Elizabeth Cole, RN, BSN
• Stephanie R Cole
• Steven Cole, PHARMD
• Tinita Cole, LPN
• Coleman Management Group Vandalia, LLC (Cadence Dental Group)
• Barbara L Coleman, CPNP
• Betty E Coleman, QMHS
• Blake A Coleman
• Caroline Coleman

• Physician Assistant in Dayton, OH
• Providers in Dayton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.