DR. PATCHARIN SURICHAMORN (NPI# 1205869336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205869336 |
| Entity Type | Individual |
| Full Name | DR. PATCHARIN SURICHAMORN |
| Credential | M.D. |
| Practice Address |
4 W Rolling Crossroads Suite 100 Baltimore MD 21228-6280 |
| Mailing Address |
3 Brookfield Garth Lutherville MD 21093-4735 |
| Practice Telephone | 4108690100 |
| Practice Fax Number | 4108690460 |
| Mailing Telephone | 4108690100 |
| Mailing Fax Number | 4108690460 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0017134 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST DC | 0035 | 01 | |
| AETNA HMO | 2330356 | 01 | |
| MAMSI | 281958 | 01 | |
| COVENTRY | 112468 | 01 | |
| NCPPO | 700248 | 01 | |
| MD | 54847 | 05 | |
| CAREFIRST MARYLAND | 76883501 | 01 | |
| CIGNA | 9628375001 | 01 | |
| JOHNS HOPKINS HEALTHCARE | 039588 | 01 | |
| AETNA PPO | 7360111 | 01 | |
| MD | 1980499 | 05 | |
| UNITED HEALTHCARE | 1980499 | 01 | |
| MD | 757361800 | 05 | |
| KAISER | 9984 | 01 |
| Street Address |
4 W ROLLING CROSSROADS SUITE 100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281706 | Carol Ivy Reynolds-freeman | Pediatrics | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2005-10-31 |
| 1952329336 | Karen Trent-mims | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-17 |
| 1164456679 | Ramona Robinson | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-10 |
| 1164455200 | Ruchira Thakor | Family Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-09 |
| 1790718989 | Chinwuba Onejeme | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-09 |
| 1669405171 | Mcneal Brockington | Internal Medicine | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-08 |
| 1760415293 | Gloria Fuentes | Pediatrics | 4 W Rolling Crossroads, Suite 100, Baltimore, MD 21228-6280 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248211 | Lauren Mendelsohn-levin, Md LLC | Pediatrics | 6905 Granite Ridge Ct, Baltimore, MD 21209-3856 | 2020-09-08 |
| 1790321172 | Lifebridge Metropolitan Physician Group II, LLC | Pediatrics | 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432 | 2019-11-21 |
| 1528534062 | Baltimore City Health Department | Pediatrics | 1301 Mcculloh St, Baltimore, MD 21217-3044 | 2018-10-23 |
| 1730664012 | Privia Care Center LLC | Pediatrics | 301 Saint Paul St Ste 409, Baltimore, MD 21202-2102 | 2018-10-02 |
| 1386147932 | Das Pediatrics | Pediatrics | 821 N Eutaw St Ste 305, Baltimore, MD 21201-6303 | 2018-03-09 |
| 1184142762 | Marieta S Caragay,m.d. | Pediatrics | 3455 Wilkens Ave Ste 102, Baltimore, MD 21229-5204 | 2017-09-05 |
| 1114455425 | Umar Qadri | Pediatrics | 4940 Eastern Ave # 021044, Baltimore, MD 21224-2735 | 2017-05-31 |
| 1487185765 | Jennifer Dibiagio | Pediatrics | 6565 N Charles St Ste 309, Baltimore, MD 21204-5804 | 2017-03-27 |
| 1538525456 | Catherine Deangelis | Pediatrics | 200 Tuscany Rd, Baltimore, MD 21210-3010 | 2016-01-07 |
| 1275913881 | Agape Health Systems | Pediatrics | 2300 Garrison Blvd Ste 130, Baltimore, MD 21216-2316 | 2015-06-09 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.