Mr. Coleman Henley Jr.
Internal Medicine

Address: 117 South 11th Avenue, Laurel, MS 39440-2914
Phone: 6014253033

Mr. Coleman Henley Jr. (NPI# 1891925616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1891925616
Entity Type Individual
Full Name Mr. Coleman Henley Jr.
Credential M.D.
Gender Male
Practice Address 117 South 11th Avenue
Laurel
MS 39440-2914
Practice Telephone 6014253033
Practice Fax Number 7168366831
Mailing Address Po Box 4361
Laurel
MS 39441-4361
Mailing Fax Number 6014220431
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2009-07-15
Last Update Date 2011-02-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 21277 MS
No 207VG0400X Obstetrics & Gynecology · Gynecology Allopathic & Osteopathic Physicians 21277 MS

Physician Overview

NPI 1891925616
PAC ID by PECOS 4284761735
Professional Enrollment ID I20100415000136
Full Name Coleman Henley
Organization Legal Name ERIE COUNTY MEDICAL CENTER CORPORATION
Phone Number 7168983000
Gender M
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1970
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialties GENERAL PRACTICE
Group Practice PAC ID 1456308907
Number of Group Practice Members 227
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330219 ERIE COUNTY MEDICAL CENTER
330005 KALEIDA HEALTH

Office Location

Street Address 117 SOUTH 11TH AVENUE
City LAUREL
State MS
Zip Code 39440-2914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831195593 Ronald A. Henry Pharmacist 117 South 11th Avenue, Laurel, MS 39440-4312 2005-06-27
1831447028 Bonita Nicole Jaynes Dietitian, Registered 117 South 11th Avenue, Laurel, MS 39440-4312 2012-08-21
1518159391 Burgese Keki Turel Clinic/Center 117 South 11th Avenue, Laurel, MS 39440 2007-08-15
1760488357 Family Health Center, Inc Clinic/Center 117 South 11th Avenue, Laurel, MS 39441-4361 2005-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1316365547 Matthew James Kollar Family Medicine 1220 Jefferson St, Laurel, MS 39440 2014-04-04
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Develo 616 East 19th Street, Laurel, MS 39440 2010-12-23
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1093912370 Tanweer Hussain Majid Student in an Organized Health Care Education/Training Program 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
1043421464 K's Discount Drugs Pharmacist 30 Circle J Drive, Suite #2, Laurel, MS 39440 2007-05-25
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225455140 Alemeshet Yami Gudeta Internal Medicine Laurel Regional Hospital, 7300 Vandusen Rd, Laurel, MD 20707 2014-03-28
1124457726 Mid-atlantic Medical Internal Medicine 9248 Stream View Ln, Laurel, MD 20723-1890 2013-11-04
1881966851 Solomon Feyissa LLC Internal Medicine 14740 4th St, Apt 415, Laurel, MD 20707-3718 2012-02-06
1720248529 Justin David Chronister Internal Medicine 14720 4th St, Apt. 309, Laurel, MD 20707-3703 2008-06-15
1942468152 Ratnakanth Mohanrao Siddabattula Internal Medicine 13504 Attleboro Ct, Apt # 21, Laurel, MD 20708-1557 2008-05-26
1255511655 Rita Pabla Md Internal Medicine 13621 Baltimore Ave, Laurel, MD 20707-5095 2007-11-14
1477640696 Laurel Medical Group, LLC Internal Medicine 1124 S Central Ave, Laurel, DE 19956-1418 2006-10-09
1740390012 Syed Akbar Ali Sadiq Internal Medicine 14333 Laurel Bowie Road, Suite 208, Laurel, MD 20708-1179 2006-08-30
1215960703 Abdul Munim Internal Medicine 8379 Cherry Ln, Laurel, MD 20707-4831 2006-07-08
1497702302 David L Harrison Internal Medicine 1203 Jefferson St, Laurel, MS 39440-4354 2006-05-27
Find all providers in LAUREL

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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