Active NPI
Terrill Coleman
- Contractor
- Cincinnati, OH
National Provider Identifier
1538695648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 1972049963
- Practice address
- 1302 Laidlaw Ave
Cincinnati, OH 45237 - Phone
- (513) 306-6033
- NPI assigned
- May 10, 2017
- Last updated
- May 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 1972049963 | OH | Primary |
Addresses
Primary practice location
1302 Laidlaw Ave
Cincinnati, OH 45237
Mailing address
1302 Laidlaw Ave
Cincinnati, OH 45237-5204
Phone (513) 306-6033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1972049963 | OH | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pieces of the Heart Group Home | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba P & P Boardinghome
- Home Health Agency
- Cincinnati, OH
- NPI 1972049963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1538695648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 LAIDLAW AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452375204",
"telephone_number": "513-306-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 LAIDLAW AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45237",
"telephone_number": "513-306-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "TERRILL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "1972049963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.