Individual provider Active NPI

Marian Coleman, DO

  • Psychiatry Physician
  • Richmond, VA
National Provider Identifier
1053766824
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0102205387 Issued in VA
Practice address
5725 Thorndale LN
Richmond, VA 23225-2811
Phone
(616) 214-1765
NPI assigned
Apr 29, 2016
Last updated
Jul 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0102205387 VA Primary

Addresses

Primary practice location

5725 Thorndale LN
Richmond, VA 23225-2811

Mailing address

5725 Thorndale LN
Richmond, VA 23225-2811
Phone (616) 214-1765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819001495 VA Practitioner - Psychiatry 0941594261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
West Virginia University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 748-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102205387VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chesterfield Virginia CurrentSince Aug 13, 2020 Accepting new patients
County of Chesterfield Virginia Psychiatry Current Accepting new patients
Chesterfield Community Services Board-Infant Program CurrentSince Aug 13, 2020 Accepting new patients

Locations

6801 Lucy Corr Ct
Chesterfield, VA 23832
Phone (804) 748-1227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1053766824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 THORNDALE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252811",
            "telephone_number": "616-214-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 THORNDALE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252811",
            "telephone_number": "616-214-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102205387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.