Active NPI
Sorawut Thamyongkit, MD
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1093230062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4940 Eastern Ave BLDG a
Baltimore, MD 21224-2735 - Phone
- (443) 240-7225
- NPI assigned
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4940 Eastern Ave BLDG a
Baltimore, MD 21224-2735
Mailing address
4940 Eastern Ave.
Ortho Surgery / BLDG. a, Rm667
Baltimore, MD 21224
Phone (443) 240-7225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00135113701 | Other | JOHNS HOPKINS EHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093230062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE.",
"address_2": "ORTHO SURGERY / BLDG. A, RM667",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "443-240-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE BLDG A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "443-240-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAMYONGKIT",
"first_name": "SORAWUT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHNS HOPKINS EHP",
"identifier": "00135113701",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.