Michael Ray Pittman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G8945 Issued in TX

Practice address

413 W Bethel Rd
Suite 202
Coppell, TX 75019-4473

Phone

(214) 493-8785

NPI assigned

Jan 21, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1205167889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 N MACARTHUR BLVD",
            "address_2": "SUITE 124-606",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634705",
            "telephone_number": "214-631-3663",
            "fax_number": "469-384-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W BETHEL RD",
            "address_2": "SUITE 202",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194473",
            "telephone_number": "214-493-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "TX",
            "license": "G8945",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G8945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreekaamya Pilaka
• Leticia Pilar, PA-C
• Ruth Pinkerton, PA
• Kimberly M Pinson-Erb, DC
• Vanessa Piper, PA
• Jamie A Plubell, D.O.
• Anna K Plummer, CPNP-PC
• Edith Adusei Poku
• Nikeeta S Potter
• Ambalakshmy Prabhakar

• Psychiatry Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.