Jill Page Coleman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

L6014 Issued in TX

Practice address

130 Medical Center Pkwy
Suite 10
Huntsville, TX 77340-4942

Phone

(936) 435-0833

NPI assigned

Jul 30, 2008

Last updated

Jul 30, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1770749756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 INTERSTATE 45 S",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406434",
            "telephone_number": "936-203-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CENTER PKWY",
            "address_2": "SUITE 10",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404942",
            "telephone_number": "936-435-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JILL",
        "middle_name": "PAGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L6014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CLP Regency of Texas, LLC (Hospice Compassus - Houston)
• Coastal Access Inc
• Amanda Marie Coffey
• Edward Lee Coffey Jr., R.PH.
• Thomas C Cole Jr., MD
• Roger Neal Collins, RPH
• Community Pathology Associates of Texas
• Henry Lee Conaway Jr., DDS
• Laura J Condon, PHD
• Mary Alice Conroy, PH.D,

• General Practice Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.