KYLE M COLEMAN (NPI# 1588777361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588777361 |
| Entity Type | Individual |
| Full Name | KYLE M COLEMAN |
| Credential | MD |
| Practice Address |
404 N Acadia Rd Thibodaux LA 70301-4856 |
| Practice Telephone | (985) 447-3889 |
| Practice Fax Number | 9854462483 |
| Mailing Telephone | (985) 447-3889 |
| Mailing Fax Number | 9854462483 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2017-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 201271 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1090719 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443464 | Kyle Coleman | Pharmacist | 10 Thunder Valley Rd, Boerne, TX 78006-8100 | 2020-07-01 |
| 1831735588 | Kyle Coleman | Behavior Technician | 6004 Academy Rd Ne, Albuquerque, NM 87109-3306 | 2019-11-18 |
| 1598113300 | Kyle Jacob Coleman | Psychiatry & Neurology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2016-06-02 |
| 1407211436 | Kyle Coleman | Case Manager/Care Coordinator | 368 S Mayo Trl, Pikeville, KY 41501-1522 | 2015-12-17 |
| 1013329630 | Kyle Coleman | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2014-06-02 |
| Street Address |
404 N ACADIA RD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346212032 | Ricardo Mora | Dermatology | 404 N Acadia Rd, Thibodaux, LA 70301 | 2006-02-06 |
| 1568908770 | Acadia Dermatology and Aesthetic Center, LLC | Dermatology | 404 N Acadia Rd, Thibodaux, LA 70301-4856 | 2017-01-11 |
| 1063669521 | Sara Cook Stone | Physician Assistant | 404 N Acadia Rd, Thibodaux, LA 70301-4856 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528259710 | Ryan Joseph Matherne | Dermatology | 2100 Audubon Ave, Thibodaux, LA 70301-5014 | 2007-08-05 |
| 1346212032 | Ricardo Mora | Dermatology | 404 N Acadia Rd, Thibodaux, LA 70301 | 2006-02-06 |
| 1720050867 | John J Jones Jr. | Dermatology | 404 North Acadia Road, Thibodaux, LA 70301 | 2006-02-03 |
| 1568908770 | Acadia Dermatology and Aesthetic Center, LLC | Dermatology | 404 N Acadia Rd, Thibodaux, LA 70301-4856 | 2017-01-11 |
| 1548601016 | Matherne Dermatology, LLC | Dermatology | 2100 Audubon Ave, Thibodaux, LA 70301-5014 | 2013-07-12 |
| 1104026095 | John J Jones Jr Md Apmc | Dermatology | 404 North Acadia Road, Thibodaux, LA 70301 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939526 | Mcdaniel Dermatology, LLC | Dermatology | 109 New Camellia Blvd Ste 200, Covington, LA 70433-7829 | 2020-10-09 |
| 1851919005 | Cenla Dermatology | Dermatology | 1587 N Bolton Ave Ste 1300, Alexandria, LA 71303-4255 | 2020-07-13 |
| 1457904658 | Advanced Skin Care | Dermatology | 3434 Prytania St Ste 420, New Orleans, LA 70115-3502 | 2019-07-17 |
| 1821551573 | Mara Haseltine Md LLC | Dermatology | 3100 Galleria Dr Ste 203, Metairie, LA 70001-2196 | 2019-04-10 |
| 1851865869 | Southern Dermatology of New Orleans | Dermatology | 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115-7403 | 2019-01-14 |
| 1235643891 | Esthetic Md | Dermatology | 3769 Pontchartrain Dr Ste 3, Slidell, LA 70458-4852 | 2017-11-18 |
| 1235678558 | Family Dermatology Specialists, LLC | Dermatology | 3421 N Causeway Boulevard, Suite 202, Metairie, LA 70002-3759 | 2017-02-20 |
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1982098836 | Tyson Meaux | Dermatology | 101 Rue Fontaine, Lafayette, LA 70508-5744 | 2015-03-27 |
| 1447678610 | Stratton Grisoli | Dermatology | 150 Lakeview Cir, Covington, LA 70433-7512 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
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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.