Physician Compare National (NPI:1669414769)

HEALTHCARE PROVIDER: RAYMOND HUGH COLEMAN MD.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1669414769
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577820448
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20171130002602
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COLEMAN
	Individual professional last name
Provider First Name	RAYMOND
	Individual professional first name
Provider Middle Name	HUGH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PRIVIA MEDICAL GROUP, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4385682061
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	967
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11119 ROCKVILLE PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	ROCKVILLE
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208523143
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3018916351
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y