MARY COLEMAN (NPI# 1093743619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093743619 |
| Entity Type | Individual |
| Full Name | MARY COLEMAN |
| Credential | M.D. |
| Practice Address |
5005 Main St Tacoma Tacoma WA 98407-3168 |
| Practice Telephone | 9253603102 |
| Mailing Telephone | 9253603102 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD60459088 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | G72907 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD60459088 | WA | Allopathic & Osteopathic Physicians |
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
G072907 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
MD60459088 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G729070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629675350 | Mary Alexandra Coleman | Marriage & Family Therapist | 807 B. Porter Rd, Nashville, TN 37206 | 2020-10-06 |
| 1518574565 | Mary Jean Coleman | Social Worker | 11618 White Ash Dr, New Port Richey, FL 34654-1934 | 2020-09-24 |
| 1972831964 | Mary A Coleman | Registered Nurse | 109 N Britt St, Siloam Springs, AR 72761-2823 | 2009-12-02 |
| 1568408706 | Mary T. Coleman | Chiropractor | 10365 Se Sunnyside Rd, Suite 210, Clackamas, OR 97015-5741 | 2006-06-22 |
| 1275531352 | Mary Thoesen Coleman | Family Medicine | 10206 Dorsey Pointe Cir, Louisville, KY 40223-3576 | 2005-07-12 |
| 1215440789 | Mary Coleman | Social Worker | 2347 Vine St, Cincinnati, OH 45219-1745 | 2017-11-07 |
| 1447637608 | Mary Coleman | Student in an Organized Health Care Education/Training Program | 349 Haydenville Rd, Leeds, MA 01053-9767 | 2015-04-27 |
| 1902211485 | Mary Coleman | Community Health Worker | 723 Emerson St, Saginaw, MI 48607-1704 | 2014-06-24 |
| 1790199339 | Mary Coleman | Licensed Practical Nurse | 925 Hwy Vv, Kennett, MO 63857 | 2014-06-11 |
| 1659644326 | Mary Kathleen Coleman | Nurse Practitioner | 2202 S Park St, Madison, WI 53713-1916 | 2012-02-10 |
| Street Address |
5005 MAIN ST TACOMA |
| City | TACOMA |
| State | WA |
| Zip Code | 98407-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487020830 | Caroline Emma Heidbreder | Physician Assistant | 5005 Main St, Suite 125, Tacoma, WA 98407-3168 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134205 | Adrienne Ashley | Behavior Technician | 3704 Nth 35th Street, Tacoma, WA 98407 | 2019-10-07 |
| 1346890050 | Theresa Marie Hopper | Technician | 5335 N. Ruby St., Tacoma, WA 98407 | 2019-09-14 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1518445196 | Rachael L Southern | Registered Nurse | 3502 N Visscher St, Tacoma, WA 98407 | 2018-08-06 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| 1720533805 | Edward Adlen Herrera | Behavioral Analyst | 3704 Nth 35th St, Tacoma, WA 98407 | 2016-08-18 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1770950446 | Darriell Beaumonte | Counselor | 5410 N. 44th Street, Tacoma, WA 98407 | 2015-08-28 |
| 1750722682 | Lori Ha | Dentist | 5005 Main St Ste 107, Ruston, WA 98407 | 2013-07-08 |
| 1861745929 | Jennifer L Trahan | Counselor | 5410 N. 44th St., Tacoma, WA 98407 | 2012-10-25 |
| Find all providers in zip 98407 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215460860 | Kira Belzer | Pediatrics | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2017-04-10 |
| 1205972791 | Deanna Sue Livingstone | Pediatrics | 9040 Reid Street, A, Tacoma, WA 98431-1100 | 2007-01-30 |
| 1023184298 | Bradley Stanton Hood | Pediatrics | 311 S L St, Tacoma, WA 98405-3720 | 2006-11-28 |
| 1700840998 | Daniel Seth Roy | Pediatrics | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-04-14 |
| 1134182801 | Thomas A Clingan IIi | Pediatrics | Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533838 | Lilliam A Sierra | Pediatrics | 7301 W Deschutes Ave, Suite A, Kennewick, WA 99336-7757 | 2005-07-26 |
| 1568880276 | Angela J Armen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-31 |
| 1700103462 | Providence Physician Services Co | Pediatrics | 101 W 8th Ave, Ste 4200, Spokane, WA 99204-2307 | 2010-04-21 |
| 1790910701 | Lisa Diane Herzig | Pediatrics | 4800 Sand Point Way Ne, M/s Oc.9.840, Seattle, WA 98105-3901 | 2009-05-19 |
| 1710135926 | Emily Myers | Pediatrics | 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 | 2008-08-29 |
| 1093931339 | Sterling K Clarren | Pediatrics | 2142 10th Ave W, Seattle Children's Home, Seattle, WA 98119-2845 | 2007-04-17 |
| 1073646469 | Natasha Hays | Pediatrics | 677 Woodland Square Loop Se, Lacey, WA 98503-1000 | 2007-03-14 |
| 1922167220 | Theodore Dungan Mandelkorn | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-12-06 |
| 1912065889 | David Laverne Burkebile | Pediatrics | 601 S Carr Rd, Suite 420, Renton, WA 98055-5866 | 2006-12-04 |
| 1538240890 | Michael L Cunningham | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY COLEMAN.
| 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.