Organization Active NPI

Anton Coleman, Munch E. Backen, PA

Doing business as Center & Memory Research Group

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1497043269
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME98598 Issued in FL
Legal business name
ANTON COLEMAN, MUNCH E. BACKEN, PA
Doing business as
Center & Memory Research Group
Practice address
3202 Serenity CT
#102
Naples, FL 34114-9576
Phone
(405) 406-2222
Fax
(239) 498-3262
NPI assigned
Jul 14, 2011
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Anton Coleman, M.D.
Title
President
Phone
(405) 406-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME98598 FL Primary

Addresses

Primary practice location

3202 Serenity CT
#102
Naples, FL 34114-9576

Mailing address

PO Box 7518
Fort Myers, FL 33911-7518

Other names 1

  • Center & Memory Research Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1497043269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7518",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339117518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 SERENITY CT",
            "address_2": "#102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341149576",
            "telephone_number": "405-406-2222",
            "fax_number": "239-498-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTON COLEMAN, MUNCH E. BACKEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-406-2222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME98598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center & Memory Research Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.