COLEMAN CHURITCH MD
NPI 1942959077
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Q: What is Coleman Churitch's NPI number?

The NPI number for Coleman Churitch is 1942959077. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Coleman Churitch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Coleman Churitch was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2022PECOS Enrolled

1924 ALCOA HWY # U-114, KNOXVILLE, TN 37920(865) 305-6501(865) 305-9144 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coleman Churitch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLEMAN CHURITCH MD (NPI 1942959077) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942959077

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCOLEMAN CHURITCHCredential: MD

Location Address1924 ALCOA HWY # U-114Knoxville, TN 37920-1511

Mailing Address1924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · (865) 305-6501 · Fax (865) 305-9144

Phone(865) 305-6501

Fax(865) 305-9144

Sole ProprietorNo

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1942959077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1924 ALCOA HWY # U-114, Knoxville, TN 37920

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coleman Churitch Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWNT TOSONIAN

Internal Medicine (Critical Care Medicine)