BRENDON PALTOO


Address: 105 Aurora St, Cambridge, MD 21613-1903
Phone: 4102289515

BRENDON PALTOO (NPI# 1629065768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629065768
Entity Type Individual
Full Name BRENDON PALTOO
Credential MD
Practice Address 105 Aurora St
Cambridge
MD 21613-1903
Practice Telephone 4102289515
Practice Fax Number 4102281453
Mailing Telephone 4102289515
Mailing Fax Number 4102281453
Enumeration Date 2005-10-04
Last Update Date 2011-11-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
D57040 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD PALMETTO GBA/RAILROAD MEDICARE 060064602 01
MD 966604401 05
MD FEDERAL BS E6360006 01
MD RR MEDICARE 060064602 01
MD CAREFIRST BS 60764602 01

Office Location

Street Address 105 AURORA ST
City CAMBRIDGE
State MD
Zip Code 21613-1903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093284853 Anne Arundel Physician Group, LLC Internal Medicine 105 Aurora St, Cambridge, MD 21613-1903 2018-11-21
1790887370 Davindra N Jailall Family Medicine 105 Aurora St, Cambridge, MD 21613-1903 2006-09-02
1073621975 M.s. Shariff, M.d., P.a. Internal Medicine 105 Aurora St, Cambridge, MD 21613-1903 2006-08-29
1033106174 Mahmood S Shariff Internal Medicine 105 Aurora St, Cambridge, MD 21613-1903 2005-10-04

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NPI Name Taxonomy Address Enumeration
1225427289 A Better Alternative Nursing Avency, Inc Nursing Care 204 Cedar Street, Canbridge, MD 21613 2015-01-14
1497048524 Christina Marie Drostin Family Medicine 503 A Muir Street, Cambridge, MD 21613 2011-05-23
1841589058 Wal-mart Stores East Lp Technician/Technologist 2775 Dorchester Square, Cambridge, MD 21613 2011-03-29
1053624452 Gina Exantus-bernard Pediatrics 400 Byrn St Ste A, Cambridge, MD 21613 2010-07-14
1235362872 St of Md/dhmh Dorchester Co Health Dept Public Health or Welfare 2475 Cambridge Bypass, Cambridge, MD 21613 2009-08-31
1801916622 Alisha Foxwell Saulsbury Social Worker 208 Cedar St, Cambridge, MD 21613 2007-03-29
1497890669 Charles Edmund Connelly Jr. Dentist 406 Lecompte Street, Cambridge, MD 21613 2007-02-21
1114088192 Delmarva Community Services Inc Nursing Care 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 2006-12-13
1184782658 Lesa M Lee Social Worker 403 Race Street, Cambridge, MD 21613 2006-12-05
1750455747 Jenny Lynne Jarrell Social Worker 208 Cedar Street, Cambridge, MD 21613 2006-11-20
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790710218 Satyanarayana M Mamidi Internal Medicine 1300 Clark St Unit 7, Cambridge, OH 43725-8875 2006-07-12
1225076508 Theresa M Palabrica Internal Medicine 40 Landsdowne Street, Millenium Pharmaceuticals, Cambridge, MA 02139 2006-06-02
1528025657 Ohio State University - Cambridge Internal Medicine 1432 Clark St, Cambridge, OH 43725-8745 2006-05-01
1770552648 Lalit K Vadlamani Internal Medicine 1210 Clark St, Cambridge, OH 43725-9611 2006-03-14
1841268042 Michael Thomas Chin Internal Medicine 65 Landsdowne St, Rm 277 Brigham and Womans Hospital Vascular Med Unit, Cambridge, MA 02139 2006-03-14
1922098474 Godtfred Holmvang Internal Medicine 139 Main St, Boston Heart Foundation, Cambridge, MA 02142-1530 2005-10-26
1316937360 Mohammed Saleem Ahmed Internal Medicine 1325 Clark St, Cambridge, OH 43725-9614 2005-10-21
1093284853 Anne Arundel Physician Group, LLC Internal Medicine 105 Aurora St, Cambridge, MD 21613-1903 2018-11-21
1730317413 Cambridge Cardiovascular Ultrasound Internal Medicine 1493 Cambridge St, Cambridge, MA 02139-1047 2009-07-01
1598903114 Salim M Jabbour Md PC Internal Medicine 1493 Cambridge St, Cahill Bldg 2nd Floor, Cambridge, MA 02139-1047 2009-02-04
Find all providers in CAMBRIDGE

Competitor

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City CAMBRIDGE
Zip Code 21613

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Dataset Information

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.

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