DR. KIM T. PANG, M.D.,P.A. (NPI# 1689983751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689983751 |
| Entity Type | Organization |
| Organization Name | DR. KIM T. PANG, M.D.,P.A. |
| Practice Address |
12113 New Hampshire Ave Silver Spring MD 20904-2868 |
| Practice Telephone | 3013843819 |
| Practice Fax Number | 3016222309 |
| Mailing Telephone | 3013843819 |
| Mailing Fax Number | 3016222309 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |
| Authorized Official Name | DR. KIM T. PANG (MEDICAL DOCTOR) |
| Authorized Official Telephone | 3013843819 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | D0030394 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 354151700 | 05 |
| Street Address |
12113 NEW HAMPSHIRE AVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1780240671 | Capstone Treatment Center, Inc | General Practice | 1133 E West Hwy Apt 204e, Silver Spring, MD 20910-4804 | 2019-05-15 |
| 1861058935 | Revive Treatment Center Inc | General Practice | 1133 E West Hwy Apt 1515w, Silver Spring, MD 20910-6833 | 2019-05-14 |
| 1497081277 | Vincent James Roux | General Practice | 9506 Clement Rd, Silver Spring, MD 20910-1643 | 2009-10-28 |
| 1063606010 | Jane Michel Canter | General Practice | 3311 Pendleton Dr, Silver Spring, MD 20902-2426 | 2007-09-04 |
| 1871503219 | Truong Xuan Hoang | General Practice | 636 University Blvd E, Silver Spring, MD 20901-3768 | 2006-08-08 |
| 1073518155 | John Ellis Glancy IIi | General Practice | 1731 Briggs Chaney Road, Silver Spring, MD 20905-5529 | 2005-06-16 |
| 1962963348 | Complete Health Service Inc. | General Practice | 831 University Blvd E Ste 36a, Silver Spring, MD 20903-2915 | 2019-03-27 |
| 1487196366 | Robert G Greenfield | General Practice | 8121 Georgia Ave, Silver Spring, MD 20910-4933 | 2016-11-09 |
| 1790133726 | Emily Jane Woo | General Practice | 10903 New Hampshire Ave, Silver Spring, MD 20993-0002 | 2016-05-31 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on DR. KIM T. PANG, M.D.,P.A..
| 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.