NPIMap

Organization Active NPI

Eileen Coelus, MD, LLC

  • Specialist
  • Abingdon, MD
National Provider Identifier
1124213947
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M34723 Issued in MD
Legal business name
EILEEN COELUS, MD, LLC
Practice address
100 Walter Ward Blvd
Suite 200
Abingdon, MD 21009
Phone
(443) 512-8484
Fax
(410) 638-2680
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Dr. Eileen Elisa Coelus, MEDICAL DOCTOR
Title
Medical Doctor
Phone
(410) 638-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X M34723 MD Primary

Addresses

Primary practice location

100 Walter Ward Blvd
Suite 200
Abingdon, MD 21009

Mailing address

100 Walter Ward Blvd
Suite 200
Abingdon, MD 21009
Phone (443) 512-8484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1124213947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "SUITE 200",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "443-512-8484",
            "fax_number": "410-638-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "SUITE 200",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "443-512-8484",
            "fax_number": "410-638-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN COELUS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "COELUS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "ELISA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "410-638-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "M34723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.