DR. PHILIP JARATSAK NIVATPUMIN (NPI# 1699721654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699721654 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JARATSAK NIVATPUMIN |
| Credential | MD |
| Practice Address |
9114 Philadelphia Rd Suite 208 Baltimore MD 21237-4317 |
| Practice Telephone | 4106875300 |
| Practice Fax Number | 4106824418 |
| Mailing Telephone | 4106875300 |
| Mailing Fax Number | 4106824418 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D0058475 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 401416200 | 05 |
| Street Address |
9114 PHILADELPHIA RD SUITE 208 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710971387 | Sankaravadivu Sivasailam | Internal Medicine | 9114 Philadelphia Rd, Suite 208, Baltimore, MD 21237-4317 | 2005-09-09 |
| 1033640032 | White Marsh Physical Therapy LLC | Psychiatry & Neurology | 9114 Philadelphia Rd, Suite 212, Baltimore, MD 21237-4345 | 2017-03-22 |
| 1982053914 | Dale Marie Gomez | Physician Assistant | 9114 Philadelphia Rd, Baltimore, MD 21237-4345 | 2016-06-09 |
| 1689908048 | Caresource LLC | General Acute Care Hospital | 9114 Philadelphia Rd, Baltimore, MD 21237-4345 | 2009-10-01 |
| 1679739627 | Jahangir Khan Md | Internal Medicine | 9114 Philadelphia Rd, Suite 304, Baltimore, MD 21237-4345 | 2008-07-30 |
| 1619165909 | Beltway Internal Medicine | Internal Medicine | 9114 Philadelphia Rd, Suite 300, Baltimore, MD 21237-4345 | 2007-10-11 |
| 1225183734 | Elman Retina Group Pa | Ophthalmology | 9114 Philadelphia Rd, Suite 310, Baltimore, MD 21237-4317 | 2007-01-24 |
| 1104983022 | All About Home Care LLC | Home Health | 9114 Philadelphia Rd, Suite 210, Baltimore, MD 21237-4317 | 2007-01-02 |
| 1215003637 | Myo Thant M.d.p.a. | Internal Medicine | 9114 Philadelphia Rd, Suite 208, Baltimore, MD 21237-4317 | 2006-11-28 |
| 1467543744 | Nikunj J Purohit | Internal Medicine | 9114 Philadelphia Rd, Suite 108, Baltimore, MD 21237-4345 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114233012 | Kenneth Miller Md LLC | Internal Medicine | 2411 West Belvedere Avenue, 202, Baltimore, MD 21215 | 2010-08-30 |
| 1548573660 | Wanqing Iris Zhi | Internal Medicine | The Sidney Kimmel Comprehensive Ctr, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2010-07-18 |
| 1073755765 | Lukasz Pawel Gondek | Internal Medicine | 1650 Orleans St # 1-290, Baltimore, MD 21287-0013 | 2009-03-27 |
| 1831331644 | Daniel Kejzman | Internal Medicine | 1650 Orleans Street, Baltimore, MD 21231-1000 | 2009-03-26 |
| 1245480607 | Jean H. Hoffman-censits | Internal Medicine | 1800 Orleans St Rm 1m40, Baltimore, MD 21287 | 2008-09-23 |
| 1467652826 | Samuel Zygler | Internal Medicine | 2524 Farringdon Rd, Baltimore, MD 21209-2543 | 2007-07-23 |
| 1710033402 | Josh David Lauring | Internal Medicine | Crb I Rm 146, 1650 Orleans St, Baltimore, MD 21287-0001 | 2007-01-26 |
| 1649385634 | Panayotis Ledakis | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| 1467460345 | Ali Cahid Civelek | Internal Medicine | 601 N Caroline St Ste 3223a, Baltimore, MD 21287-0006 | 2006-08-04 |
| 1538184056 | Mary J Wilkinson | Internal Medicine | 1800 Orleans St Fl 10, Baltimore, MD 21287-0010 | 2006-07-13 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on DR. PHILIP JARATSAK NIVATPUMIN.
| 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.