LANETTA COLEMAN (NPI# 1033150032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033150032 |
| Entity Type | Individual |
| Full Name | LANETTA COLEMAN |
| Credential | MD |
| Practice Address |
6001 W Outer Dr #400 Detroit MI 48235 |
| Practice Telephone | 3139664200 |
| Practice Fax Number | 3139663560 |
| Mailing Telephone | 3139664200 |
| Mailing Fax Number | 3139663560 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301060101 | MI | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
LC060101 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 104536439 | 05 |
| Street Address |
6001 W OUTER DR #400 |
| City | DETROIT |
| State | MI |
| Zip Code | 48235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093780611 | Susan Elaine Harold | Internal Medicine | 6001 W Outer Dr, Suite 429, Detroit, MI 48235-2614 | 2006-02-17 |
| 1891396800 | Ashley Sentell | Nurse Practitioner | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2020-11-05 |
| 1841815974 | Heba Ahmed Elmadhoun | Pharmacist | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2020-06-15 |
| 1710495346 | Katherine Memisevic | Nurse Anesthetist, Certified Registered | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2018-01-17 |
| 1467985911 | Omar Elmadhoun | Student in an Organized Health Care Education/Training Program | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2017-04-11 |
| 1083161905 | Julia Marie Burkhardt | Physician Assistant | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2016-09-08 |
| 1902251879 | Mi Midwife | Advanced Practice Midwife | 6001 W Outer Dr, Suite #320, Detroit, MI 48235-2614 | 2016-04-28 |
| 1255708343 | Emily Bigas | Dietitian, Registered | 6001 W Outer Dr, Detroit, MI 48235-2614 | 2015-08-25 |
| 1407237548 | Elise Wiersma Paulk | Nurse Practitioner | 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 | 2015-06-15 |
| 1457754533 | Reina Brojan Pearson | Nurse Practitioner | 6001 W Outer Dr, Suite 114, Detroit, MI 48235-2614 | 2014-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976292 | Ali Nauman Khan | Student in an Organized Health Care Education/Training Program | Detroit Medical Center-sinai Grace Hospital, 6071 W. Outer Driver, Detroit, MI 48235 | 2020-06-08 |
| 1629690565 | Faseeha Arshad Gondal | Student in an Organized Health Care Education/Training Program | Detroit Medical Center Sinai Grace Hospital, 6071 Outer Dr W. Detroit, Mi 48235, United States, Detroit, MI 48235 | 2020-05-14 |
| 1902428832 | Muhanad Abou Touk | Student in an Organized Health Care Education/Training Program | Dmc - Sinai Grace Hospital, Department of Internal Medi, 6071, W. Outer Drive, Detroit, MI 48235 | 2020-05-14 |
| 1780206730 | Ahmad Mismar | Student in an Organized Health Care Education/Training Program | Detroit Medical Center - Sinai Grace Hospital, Departme, 6071 West Outer Drive, Detroit, MI 48235 | 2020-05-13 |
| 1023630589 | Joao Paulo Fontana Bragagnollo | Student in an Organized Health Care Education/Training Program | 6071 W Outer Drive-sinai Grace Hospital, Department of Medicine 4th Floor M-406, Detroit, MI 48235 | 2020-05-07 |
| 1881216216 | Mohammad Awad Jaber | Student in an Organized Health Care Education/Training Program | 6071 W. Outer Drive, Dmc Sinai-grace Hospital, Detroit, MI 48235 | 2020-05-07 |
| 1366064818 | Syeda Busmah Owais | Student in an Organized Health Care Education/Training Program | 6071 Outer Drive, Sinai Grace Hospital, Department of I, Detroit, MI 48235 | 2020-05-07 |
| 1184245680 | Sushmitha Nanja Reddy | Student in an Organized Health Care Education/Training Program | Detroit Medcen Sinai Grace Hospital Dpt of Internal Med, 6071 W Outer Drive, Detroit, MI 48235 | 2020-05-06 |
| 1972164796 | Jack Phillip Tomen | Student in an Organized Health Care Education/Training Program | Sinai - Grace Hospital, 6071 Outer Drive W, Department of Medicine - 4 Main, Detroit, MI 48235 | 2019-06-24 |
| 1346809464 | Anusha Bapatla | Student in an Organized Health Care Education/Training Program | 4 Main, 6071 West Outer Drive, Sinai-grace Hospital, Department of Internal Medicine, Detroit, MI 48235 | 2019-06-12 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992009955 | Maurice-andre Recanati | Obstetrics & Gynecology | 4201 Saint Antoine St Ste 4c, Detroit, MI 48201-2153 | 2011-01-06 |
| 1194041830 | Eberechukwu Jill Azumah | Obstetrics & Gynecology | 5960 Bedford St, Detroit, MI 48224-2651 | 2010-04-19 |
| 1134383508 | Haider S Mahdi | Obstetrics & Gynecology | 3990 John R, 7 Brush North, Wayne State University/ Detroit Medical Center,obgyn, Detroit, MI 48201 | 2008-07-15 |
| 1609040484 | Yhfmc PC | Obstetrics & Gynecology | 15266 Grand River Ave, Detroit, MI 48227-2213 | 2008-04-14 |
| 1619191954 | F Seabrooks | Obstetrics & Gynecology | 19305 W 7 Mile Rd, Detroit, MI 48219-2718 | 2007-04-11 |
| 1326168188 | Mary Ibe | Obstetrics & Gynecology | 3980 John R, Detroit, MI 48201 | 2007-03-29 |
| 1144365545 | George W Gibson | Obstetrics & Gynecology | 15201 W Mcnichols Rd, Detroit, MI 48235-3717 | 2007-02-21 |
| 1780764712 | Romeo H Tabbilos | Obstetrics & Gynecology | 3011 West Grand Boulevard, Suite 428, Detroit, MI 48202 | 2006-10-16 |
| 1497862189 | Terry A Wynn | Obstetrics & Gynecology | 14103 Fenkell St, Detroit, MI 48227-3214 | 2006-08-25 |
| 1104856897 | Ann R Gillett-elrington | Obstetrics & Gynecology | 13901 E Jefferson Ave, Detroit, MI 48215-2720 | 2006-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.