Stephanie Coleman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301105365 Issued in MI

Practice address

5210 Highland Rd Ste 201
Waterford, MI 48327-1970

Phone

(248) 674-2259

Fax

(248) 674-3356

NPI assigned

Apr 9, 2014

Last updated

Mar 30, 2019By 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 1

Addresses

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 Medicine

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1528487246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 HIGHLAND RD STE 201",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271970",
            "telephone_number": "248-674-2259",
            "fax_number": "248-674-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 HIGHLAND RD STE 201",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271970",
            "telephone_number": "248-674-2259",
            "fax_number": "248-674-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301105365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cobb
• Lucy Coccimiglio, D.O.
• Jacob Cockerhan, PMHNP
• Halli Erin Cohen, PHYSICIAN ASSISTANT
• Alisha Coleman, LMSW
• Marques Andre Coley
• Daniel Thomas Colfer
• Cierra Collier, DO
• Aaron Collins, N.P.
• Jessica Collins, LLPC

• Internal Medicine Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; 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.