Peyapong Patanaphan
MARYLAND ENT CENTER LLC


Address: 2401 W Belvedere Ave, Ent Clinic, Baltimore, MD 21215-5216
Phone: 4106016673

Peyapong Patanaphan (NPI# 1578634242, PAC ID# 1759459316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1578634242
PAC ID by PECOS 1759459316
Professional Enrollment ID I20090115000060
Full Name Peyapong Patanaphan
Organization Legal Name MARYLAND ENT CENTER LLC
Address 2401 W Belvedere Ave
Ent Clinic
Baltimore
MD 21215-5216
Phone Number 4106016673
Gender M
Graduation Year 1971
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 4486712155
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210012 SINAI HOSPITAL OF BALTIMORE
210056 MEDSTAR GOOD SAMARITAN HOSPITAL

Other Locations

Address Phone Organization
2401 W Belvedere Ave, Ent Clinic, Baltimore, MD 21215-5216 4106016673 MARYLAND ENT CENTER LLC
5601 Loch Raven Blvd, Good Health Center, Baltimore, MD 21239-2905 4434444848 MARYLAND ENT CENTER LLC

Organization Information

Organization Legal Name MARYLAND ENT CENTER LLC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Alan Henry Shikani Otolaryngology Maryland Ent Center LLC 1629 York Rd, Lutherville, MD 21093-5633
Hassen O Mohammed Otolaryngology Maryland Ent Center LLC 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322
Mohammad Abraham A Kazemizadeh Gol Otolaryngology Maryland Ent Center LLC 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322
Shannon P Hahn Audiologist Maryland Ent Center LLC 200 E 33rd St, Suite 631, Baltimore, MD 21218-3322

Office Location

Street Address 2401 W BELVEDERE AVE
ENT CLINIC
City BALTIMORE
State MD
Zip 21215-5216

Physicians in the same location

Name Specialty Organization Address
Jay B Keil Physician Assistant Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216
S Jasmine Demos Nurse Practitioner Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Hospitalist Office, Baltimore, MD 21215-5216
Yin Wu Hematology/oncology Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Sinai Oncology Associates Lapidus Cancer Institute, Baltimore, MD 21215-5216
Susan S Meltzer Internal Medicine Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Hospitalist Office, Baltimore, MD 21215-5216
Aurora A Maria Physician Assistant Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216
Amaris James Physician Assistant Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216
Cardella W Coleman Radiation Oncology Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Sinai Radiation Oncology, Baltimore, MD 21215-5216
Martin Engelhardt Cardiovascular Disease (cardiology) Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Sinai Cardiovascular Faculty, Baltimore, MD 21215-5271
Jennifer Elizabeth Siddle Nurse Practitioner Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Sinai Oncology Associates Lapidus Cancer Institute, Baltimore, MD 21215-5216
Martin S Chin Psychiatry Sinai Hospital of Baltimore, Inc 2401 W Belvedere Ave, Sinai Psychiatry Associates, Baltimore, MD 21215-5271
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Physicians in the same zip code

Name Specialty Organization Address
Enrique I Oviedo Psychiatry Associated Catholic Charities, Inc 6999 Reisterstown Rd, Baltimore, MD 21215-1430
Joseph H O'leary Psychiatry Associated Catholic Charities, Inc 6999 Reisterstown Rd, Baltimore, MD 21215-1430
Ewere O Osian-dugan Psychiatry Associated Catholic Charities, Inc 6999 Reisterstown Rd, Baltimore, MD 21215-1430
Rebecca S Duncan Clinical Social Worker Associated Catholic Charities, Inc 6999 Reisterstown Rd, Baltimore, MD 21215-1430
John E Stokes Iv Internal Medicine Saluja Medical Associates 6821 Reisterstown Rd, Suite 106, Baltimore, MD 21215-1434
Chanelle Renee Carter Podiatry Dr. Brian Kashan, D.p.m., Pa 6506 Reisterstown Rd, Baltimore, MD 21215-2304
Bruce James Sumlin Ophthalmology Baltimore Ophthalmology LLC 6418 Reisterstown Rd, Baltimore, MD 21215-2308
Anna Zemelshtern Optometry Baltimore Optical Inc 6412 Reisterstown Rd, Baltimore, MD 21215-2308
Beth Karmiol Reiser Optometry Baltimore Optical Inc 6412 Reisterstown Rd, Baltimore, MD 21215-2308
Bryan Rogoff Optometry Baltimore Optical Inc 6412 Reisterstown Rd, Baltimore, MD 21215-2308
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Competitor

Search similar physicians

City BALTIMORE
Zip Code 21215
Specialty OTOLARYNGOLOGY
City + Specialty BALTIMORE + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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