MARY COLEMAN M.D. NPI 1093743619

NPI Information

NPI: 1093743619
Provider Name: MARY COLEMAN, M.D.
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

PECOS Registration: Yes

Address:
5005 MAIN ST
TACOMA
TACOMA, WA
ZIP 98407
Phone: (925) 360-3102
Get Directions

Mary Coleman, M.D. is a developmental - behavioral pediatrics pediatrics in Tacoma, WA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Mary Coleman, M.D. NPI is 1093743619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5005 MAIN ST
TACOMA
TACOMA, WA
ZIP 98407-168
Phone: (925) 360-3102

The NPI 1093743619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 11/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		G72907	CALIFORNIA	No
2	208000000X	Pediatrics		MD60459088	WASHINGTON	No
3	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	G072907	CALIFORNIA	No
4	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	MD60459088	WASHINGTON	No
5	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	MD60459088	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G729070	MEDICAID	CALIFORNIA
2	00G729070	MEDICARE PIN	CALIFORNIA
3	H86970	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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