MR. MATTHEW TYNES COLEMAN (NPI# 1972685683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972685683 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW TYNES COLEMAN |
| Credential | PA-C |
| Practice Address |
2539 Viking Dr Ste 101 Bossier City LA 71111-2165 |
| Practice Telephone | 3187478100 |
| Practice Fax Number | 3187478150 |
| Mailing Telephone | 3189253338 |
| Mailing Fax Number | 3187478150 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.A10348 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5390 Barksdale Blvd Ste 200, Bossier City, LA 711124526 | 3187478100 | 3187478150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| 1629399142 | Matthew R Coleman | Pharmacist | 6508a Basile Rowe, East Syracuse, NY 13057-2942 | 2010-06-18 |
| 1922078088 | Matthew J Coleman | Internal Medicine | 1429 N Mount Auburn Rd, Cape Girardeau, MO 63701-2171 | 2006-01-23 |
| 1215937479 | Matthew David Coleman | Pathology | 6930 W Charleston Blvd, Las Vegas, NV 89117-1602 | 2005-07-28 |
| 1396202388 | Matthew Coleman | Registered Nurse | 444 Hospital Way, Pocatello, ID 83201-2745 | 2019-02-26 |
| 1912435561 | Matthew Coleman | Physical Therapist | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2017-05-26 |
| 1285162180 | Matthew Coleman | Physical Therapist | 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4630 | 2017-05-23 |
| 1982004206 | Matthew Coleman | Chiropractor | 417 Welshwood Dr, Nashville, TN 37211-4209 | 2014-08-25 |
| 1376961649 | Matthew Coleman | Anesthesiology | 1200 J D Anderson Dr, Morgantown, WV 26505 | 2014-04-02 |
| 1881946689 | Matthew Coleman | Anesthesiologist Assistant | 5000 W Chambers St, Milwaukee, WI 53210 | 2012-10-04 |
| Street Address |
2539 VIKING DR STE 101 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912976614 | Kelly L Toups | Nurse Practitioner | 2539 Viking Dr Ste 101, Bossier City, LA 71111 | 2006-03-15 |
| 1891349643 | Shawna Renee Leong | Nurse Practitioner | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2019-07-30 |
| 1558923979 | Hannah Williams | Nurse Practitioner | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2019-07-05 |
| 1417443672 | Chelsea Colvin Smith | Family Medicine | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2018-07-10 |
| 1770083909 | Ursula Maroski Carlisle | Family Medicine | 2539 Viking Dr Ste 101, Bossier City, LA 71111 | 2018-02-14 |
| 1225588312 | Chesney Finley | Nurse Practitioner | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2016-10-12 |
| 1275929929 | Jennifer O'neal | Family Medicine | 2539 Viking Dr Ste 101, Bossier City, LA 71111 | 2015-04-09 |
| 1245641554 | Julie Chun | Family Medicine | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2014-05-09 |
| 1720408727 | Ashley Alysse Sommerhalder | Family Medicine | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2014-04-17 |
| 1003032236 | Bossier Family Medicine, LLC | Clinic/Center | 2539 Viking Dr Ste 101, Bossier City, LA 71111-2165 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
| 1558819532 | Heather Roan | Physician Assistant | 2449 Hospital Dr Ste 400, Bossier City, LA 71111-1914 | 2016-09-19 |
| 1215308283 | Kayce Nichols Kirk | Physician Assistant | 2120 Airline Dr, Bossier City, LA 71111-3106 | 2015-10-15 |
| 1609244318 | Bridget Whittington | Physician Assistant | 2449 Hospital Dr, Suite 300, Bossier City, LA 71111-2399 | 2015-09-11 |
| 1457750366 | Emily K. Leblanc | Physician Assistant | 2449 Hospital Dr Ste 300, Bossier City, LA 71111 | 2014-08-15 |
| 1982913026 | Kimberly Denise Pair | Physician Assistant | 2539 Viking Dr, Suite 101, Bossier City, LA 71111 | 2010-10-06 |
| 1104004720 | Kerri Lucken Tynes | Physician Assistant | 2300 Hospital Dr, Suite 450, Bossier City, LA 71111-2394 | 2008-02-06 |
| 1609097070 | Elizabeth Michelle Doolittle | Physician Assistant | 2449 Hospital Dr Ste 300, Bossier City, LA 71111 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
| 1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
| 1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
| 1356797658 | Courtney Coyle | Physician Assistant | 1980 N Hwy, Covington, LA 70433-5158 | 2016-05-05 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.