NPI

Coleman Oliver Clougherty

NPI 1417205642

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
D.P.M.
Type
Individual
Enumeration date
2012-08-20
Last updated
2018-03-17

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Specialties

Licenses

License OH
36003722

Location

Practice location
6688 Ridge Rd Ste 1110
City
Parma OH
Postal code
44129-5706
Phone
(440) 885-1000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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