NPIMap

Organization Active NPI

Darryl M Coleman MD PA

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1881080653
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DARRYL M COLEMAN MD PA
Practice address
2125 Maryland Ave
Suites 109 & 110
Baltimore, MD 21218-5634
Phone
(410) 244-8002
Fax
(410) 244-8810
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Darryl M Coleman, M.D.
Title
Owner/Psychiatrist
Phone
(410) 744-7076

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

2125 Maryland Ave
Suites 109 & 110
Baltimore, MD 21218-5634

Mailing address

6630 Baltimore National Pike Ste 205B
Catonsville, MD 21228-3943
Phone (410) 744-7076

Other identifiers 1

IdentifierTypeStateIssuer
731901100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Darryl M Coleman MD PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2125 Maryland Ave
Ste 109
Baltimore, MD 21218
Phone (410) 244-8002

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1881080653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 BALTIMORE NATIONAL PIKE STE 205B",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212283943",
            "telephone_number": "410-744-7076",
            "fax_number": "410-744-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 MARYLAND AVE",
            "address_2": "SUITES 109 & 110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185634",
            "telephone_number": "410-244-8002",
            "fax_number": "410-244-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL M COLEMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIST",
        "authorized_official_telephone_number": "410-744-7076",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "731901100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.