Individual provider Active NPI

Myo Thant, MD

  • Hematology & Oncology Physician
  • Baltimore, MD
National Provider Identifier
1124013545
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0018487 Issued in MD
Practice address
9114 Philadelphia Rd
Suite 208
Baltimore, MD 21237-4317
Phone
(410) 687-5300
Fax
(410) 682-4418
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0018487 MD Primary

Addresses

Primary practice location

9114 Philadelphia Rd
Suite 208
Baltimore, MD 21237-4317

Mailing address

1000 Westwicke LN
Suite 208
Lutherville, MD 21093-3706
Phone (410) 687-5300

Other identifiers 3

IdentifierTypeStateIssuer
102315OtherMDAETNA
530001100MedicaidMD
830005807OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160203000978 MD Order and Referring Only - Hematology/OncologyPractitioner - Hematology/Oncology 1850295627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0018487MDMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1124013545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WESTWICKE LN",
            "address_2": "SUITE 208",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933706",
            "telephone_number": "410-687-5300",
            "fax_number": "410-682-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-687-5300",
            "fax_number": "410-682-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANT",
        "first_name": "MYO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0018487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "102315",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530001100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "830005807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.