Tanyaporn Wansom, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NOT YET ISSUED Issued in MD

Practice address

1830 E Monument St RM 450C
Division of Infectious Diseases
Baltimore, MD 21287-0020

Phone

(410) 502-2326

NPI assigned

May 12, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339891200000",
    "number": "1073747515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 MARTIN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E MONUMENT ST RM 450C",
            "address_2": "DIVISION OF INFECTIOUS DISEASES",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870020",
            "telephone_number": "410-502-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANSOM",
        "first_name": "TANYAPORN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2012-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "NOT YET ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuexin Wang, MD
• Yuxuan Wang
• Zhu Wang
• Charles Wangui, CRNP
• Anthony Ndungu Wanjiru
• Kelly Wantz
• Dana Lorin Wanyo, MA, CCC, SLP
• Megan Wanzer, DNP, CRNP, CNS, CCRN
• Heera Waqar
• Muhammad Waqas, LCPC

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.