Provider Demographics
NPI:1093041949
Name:COLMAN, PAMELA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JANE
Last Name:COLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:493 RIVERPOINTE DR
Mailing Address - Street 2:UNIT 7
Mailing Address - City:DAYTON
Mailing Address - State:KY
Mailing Address - Zip Code:41074-6320
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 E MCMICKEN AVE
Practice Address - Street 2:MCMICKEN HEALTH CENTER, HEALTHCARE FOR THE HOMELESS
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6549
Practice Address - Country:US
Practice Address - Phone:513-352-6364
Practice Address - Fax:513-352-6379
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.057765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2996594Medicaid
OHCO2032721Medicare PIN