Ronald Thomas Coleman Sr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

C45573861092 Issued in IL

Practice address

16656 Thornton Ave
South Holland, IL 60473-2842

Phone

(773) 808-0673

Fax

(708) 893-0550

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1972046746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16656 THORNTON AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732842",
            "telephone_number": "773-808-0673",
            "fax_number": "708-893-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16656 THORNTON AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732842",
            "telephone_number": "773-808-0673",
            "fax_number": "708-893-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "RONALD",
        "middle_name": "THOMAS",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "C45573861092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Community Home Health Professionals, LLC
• Laura Clark, PHARMD.
• Renee Cobb-Dishman, SOCIAL WORKER
• Jacqueline Coffer, FNP-C
• Casey Coleman, DPT
• Betsy Colvin, LCSW
• Complete Home Health Services, Inc
• Carlos Concepcion, M.D.
• Conscientious Incorporated
• Kristian Cook

• Non-emergency Medical Transport (VAN) in South Holland, IL
• Providers in South Holland, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.