PANYAMOL PAM KITTIPONGDAJA (NPI# 1861821589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861821589 |
Entity Type | Individual |
Full Name | PANYAMOL PAM KITTIPONGDAJA |
Credential | DO |
Practice Address |
501 Office Center Dr Ste 190-195 Fort Washington PA 19034-3220 |
Mailing Address |
151 Southhall Ln Ste 300 Maitland FL 32751-7172 |
Practice Telephone | 2158367900 |
Enumeration Date | 2013-11-04 |
Last Update Date | 2018-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | OS018946 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 103374660-0001 | 05 |
Street Address |
501 OFFICE CENTER DR STE 190-195 |
City | FORT WASHINGTON |
State | PA |
Zip Code | 19034-3220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740793215 | Toni Bronfenbrener | Nurse Practitioner | 501 Office Center Dr Ste 190-195, Fort Washington, PA 19034-3220 | 2017-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376038810 | Child and Family Focus, Inc. | Community/Behavioral Health | 800 Losh Alsh Avenue, Fort Washington, PA 19034 | 2018-06-27 |
1902398688 | Axia Ambulatory Surgery Center | Clinic/Center | 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 | 2018-05-30 |
1336691245 | Elverl Fully | Registered Nurse | 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 | 2016-10-26 |
1881140028 | Sulvena Pierre | Licensed Practical Nurse | 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 | 2016-08-28 |
1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
1699145821 | Anna Oldfield | Nurse Practitioner | 735 Susquehanna Rd, Fort Washington, PA 19034 | 2015-09-30 |
1598149247 | Victoria T Adepoju | Licensed Practical Nurse | 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 | 2015-07-13 |
1700210408 | Wendy Lynn Holmes | Physical Therapy Assistant | 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 | 2013-08-29 |
1629316567 | The Ellison Nursing Group | Licensed Practical Nurse | 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 | 2013-01-28 |
1841540416 | Barbara Portnoy | Dentist | 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 | 2012-09-11 |
Find all providers in zip 19034 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891870663 | Jessica T Dunne | Dermatology | 455 Pennsylvania Ave Ste 127, Fort Washington, PA 19034-3409 | 2006-10-27 |
1588618425 | Andrew Laurence Kaplan | Dermatology | 501 Office Center Drive, Suite 195, Fort Washington, PA 19034 | 2006-05-22 |
1043452089 | Robyn R James Md LLC | Dermatology | 11701 Livingston Rd, Suite 202, Fort Washington, MD 20744-5104 | 2009-04-06 |
1598976938 | Aradhna Saxena | Dermatology | 455 Pennsylvania Ave, Suite 127, Fort Washington, PA 19034-3403 | 2007-05-25 |
1578770251 | Laurel Radcliffe Schwartz | Dermatology | 501 Office Center Dr, Suite 195, Fort Washington, PA 19034-3220 | 2007-05-16 |
1164551008 | Anna Manilov | Dermatology | 501 Office Center Dr, Suite 195, Fort Washington, PA 19034-3220 | 2007-03-05 |
1053460568 | Katina Byrd Miles | Dermatology | 11701 Livingston Rd, Suite 302, Fort Washington, MD 20744-5104 | 2007-01-10 |
1760555924 | Andrew K Pollack | Dermatology | 501 Office Center Dr, Suite 195, Fort Washington, PA 19034-3220 | 2006-11-16 |
1710056692 | Jeffrey Weddington | Dermatology | 11701 Livingston Rd, 302, Fort Washington, MD 20744-5104 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962013748 | Consonant Healing Medical Associates of Pa LLC | Dermatology | 49 Smith Mill Rd, New Freedom, PA 17349-8147 | 2020-08-13 |
1790395747 | Dermatology Specialists of Pennsylvania | Dermatology | 1122 Street Rd Ste 204, Southampton, PA 18966-4218 | 2020-08-05 |
1275151458 | Sylvan Dermatology LLC | Dermatology | 32 Parking Plz Ste 300, Ardmore, PA 19003-2443 | 2020-07-14 |
1841819455 | Rowe Dermatology, Pllc | Dermatology | 519 Owen Rd, Wynnewood, PA 19096-1714 | 2020-04-14 |
1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
1346882651 | Whalen Dermatology of Pittsburgh PC | Dermatology | 160 Millers Run Rd Ste 500, Bridgeville, PA 15017-1358 | 2019-10-09 |
1932740461 | Mark Abdelmalek, Md LLC | Dermatology | 200 N 16th St Ste D, Philadelphia, PA 19102-1225 | 2019-10-07 |
1093368185 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Rd Ste 215a, Langhorne, PA 19047-1219 | 2019-07-18 |
1821573619 | St. Luke's Physician Group, Inc | Dermatology | 1600 St Lukes Blvd Ste 100, Easton, PA 18045-5671 | 2018-09-27 |
1588147748 | Pittsburgh Skin PC | Dermatology | 144 Emeryville Dr Ste 230, Cranberry Twp, PA 16066-5015 | 2018-09-12 |
Find all providers with the same taxonomy |
City | FORT WASHINGTON |
Zip Code | 19034 |
Please comment or provide details below to improve the information on PANYAMOL PAM KITTIPONGDAJA.
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.