PIM SUWANNARAT (NPI# 1104010776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104010776 |
Entity Type | Individual |
Full Name | PIM SUWANNARAT |
Credential | MD |
Practice Address |
5100 Auth Way Suitland MD 20746-4207 |
Practice Telephone | 3017025250 |
Practice Fax Number | 3017025644 |
Mailing Telephone | 3017025250 |
Mailing Fax Number | 3017025644 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2016-11-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
A108298 | CA | Allopathic & Osteopathic Physicians |
N | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
A108298 | CA | Allopathic & Osteopathic Physicians |
Street Address |
5100 AUTH WAY |
City | SUITLAND |
State | MD |
Zip Code | 20746-4207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053318089 | Veena Mysore | Family Medicine | 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207 | 2005-07-05 |
1609485788 | Shannon Ashley Haines | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4207 | 2020-07-24 |
1780177485 | Joya Petersen | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4276 | 2018-06-07 |
1912434473 | Brooke Hornak | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4207 | 2017-05-16 |
1750739561 | Victoria Dickens | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746-4207 | 2016-06-02 |
1235598285 | Stephanie Spaulding | Genetic Counselor, MS | 5100 Auth Way, Suitland, MD 20746 | 2016-02-18 |
1477963940 | Adenike Akingbe | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2014-05-05 |
1407290075 | Cynthia Ugbomah Shepard | Obstetrics & Gynecology | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-04-25 |
1316288467 | Constance Banks | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-03-13 |
1174864235 | Karen Evon Latson | Pharmacist | 5100 Auth Way, Suitland, MD 20746-4207 | 2013-03-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083186217 | A1 Surgical Services L.L.C. | Specialist/Technologist, Other | 6710 Oxon Hill Rd #150, Oxon Hill, MD 20746 | 2018-12-28 |
1316427610 | Ryan Rehabilitation LLC | Counselor | 5210 Auth Rd Ste 100, Suitland, MD 20746 | 2018-08-16 |
1669968616 | Monica Heleine Veney | Home Health | 3220 Swann Rd Apt 102, Suitland, MD 20746 | 2018-07-02 |
1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
1811424153 | Dimonique Brandon | Home Health Aide | 4260, Suitland Rd Apt 104, Suitland, MD 20746 | 2017-05-17 |
1831559772 | Commie Anana | Pharmacist | 4705 Silver Hill Rd, Suitland, MD 20746 | 2016-03-04 |
1821475682 | Maryland Care of Camp Springs LLC | Clinic/Center | 4703 Old Soper Road, Suite R-1, Camp Springs, MD 20746 | 2015-04-30 |
1356759708 | Therapy Associates, LLC | Physical Therapist | 5625 Allentown Road, Suite 200, Suitland, MD 20746 | 2014-07-29 |
1710223441 | Rosemary Ufumwen | Home Health Aide | 3928 Suitland Road, 3, Suitland, MD 20746 | 2012-12-28 |
1174798250 | Seanta Renitta Cleveland | Specialist/Technologist | 5602 Auth Way, Camp Springs, MD 20746 | 2008-04-29 |
Find all providers in zip 20746 |
Taxonomy Code | 207SG0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Genetics (M.D.) |
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487978128 | Jasmin Roohi | Medical Genetics | 5100 Auth Way, Suitland, MD 20746-4207 | 2010-03-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093335572 | Marcelo J. A. Amar | Medical Genetics | 10 Center Drive 5d03, Bethesda, MD 20892-0001 | 2020-04-24 |
1477985851 | Maximilian Muenke | Medical Genetics | 5131 Dudley Ln, Bethesda, MD 20814-5429 | 2013-08-07 |
1013279330 | Sho T Yano | Medical Genetics | 35 Convent Drive Msc 3717 Building 35 Rm 1b202, Bethesda, MD 20892-1425 | 2012-06-12 |
1467756585 | Ellen Sidransky | Medical Genetics | 351a213 Convent Dr, Bethesda, MD 20892-0001 | 2011-01-04 |
1750684346 | Asd Centers, LLC | Medical Genetics | 14 Redgate Ct, Silver Spring, MD 20905-5726 | 2010-12-21 |
1730418963 | Rafael Daniel Camerini-otero | Medical Genetics | Building 5, Room 201, Nih, Bethesda, MD 20892-0538 | 2009-12-17 |
1871829648 | Leslie Glenn Biesecker | Medical Genetics | 49 Convent Dr Rm 4a56, Bethesda, MD 20892-0001 | 2009-10-28 |
1992948582 | William Allen Gahl | Medical Genetics | 10 Center Drive Msc 1851, Bldg. 10, Room 10c-103, Nhgri, Nih, Bethesda, MD 20892-0001 | 2009-04-12 |
1750554952 | Meral Gunay-aygun | Medical Genetics | Nhgri 10 Center Dr Bldg 10, Rm 10c103, Bethesda, MD 20892-0001 | 2008-04-08 |
1912103177 | Johns Hopkins University | Medical Genetics | 1812 Ashland Ave Ste 200, Baltimore, MD 21205-1506 | 2007-06-25 |
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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.