Coleman Clougherty (NPI# 1417205642, PAC ID# 4183935588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1417205642 |
| PAC ID by PECOS | 4183935588 |
| Professional Enrollment ID | I20150723007002 |
| Full Name | Coleman Clougherty |
| Organization Legal Name | CLEVELAND LOWER EXTREMITY SPECIALISTS LLC |
| Address |
7711 W Ridgewood Dr Cleveland OH 44129-5553 |
| Phone Number | 4408851000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY, UNDERSEA AND HYPERBARIC MEDICINE |
| Group Practice PAC ID | 3274894621 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360107 | BELLEVUE HOSPITAL |
| 360041 | PARMA COMMUNITY GENERAL HOSPITAL |
| 360077 | FAIRVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7711 W Ridgewood Dr, Cleveland, OH 44129-5553 | 4408851000 | CLEVELAND LOWER EXTREMITY SPECIALISTS LLC |
| 420 W Mcpherson Hwy, Clyde, OH 43410-1133 | 4194845430 | BELLEVUE PROFESSIONAL SERVICES INC |
| Organization Legal Name | CLEVELAND LOWER EXTREMITY SPECIALISTS LLC |
| Physicians | 1 |
| Street Address |
7711 W RIDGEWOOD DR |
| City | CLEVELAND |
| State | OH |
| Zip | 44129-5553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Schonfeld | Optometry | 6204 Brookpark Rd, Cleveland, OH 44129-1218 | |
| James Joseph Edwards | Ophthalmology | 5500 Ridge Rd, Suite 208, Parma, OH 44129-2367 | |
| Edgar Tolentino | General Surgery | 5500 Ridge Rd, Suite 115, Parma, OH 44129-2367 | |
| Diane M Kushnar | Family Medicine | 5500 Ridge Rd, Suite 120, Parma, OH 44129-2367 | |
| James Tsung-hwa Liang | Pediatric Medicine | 5500 Ridge Rd, Suite 220, Parma, OH 44129-2367 | |
| David J Mitchell | Ophthalmology | Retina Specialists of Ohio | 5500 Ridge Rd, Suite 208, Parma, OH 44129-2367 |
| Victoria M Ciotta | Chiropractic | 5569 Ridge Rd, Parma, OH 44129-2372 | |
| Clinton Scott Felker | Psychologist, Clinical | 5567 Ridge Rd, Parma, OH 44129-2372 | |
| Nathaniel Andrew Hamm | Podiatry | 5500 Ridge Rd, Suite 140, Parma, OH 44129-2393 | |
| Romeo Ong | Otolaryngology | 5500 Ridge Rd, Suite 236, Parma, OH 44129-2393 | |
| Find all physicians in zip 44129 | |||
| City | CLEVELAND |
| Zip Code | 44129 |
| Specialty | PODIATRY |
| City + Specialty | CLEVELAND + PODIATRY |
Please comment or provide details below to improve the information on Coleman Clougherty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.