Dibos-Edery, P.a.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

D0004683 Issued in MD

Legal business name

DIBOS-EDERY, P.A.

Practice address

5601 Loch Raven Blvd
Baltimore, MD 21239-2905

Phone

(410) 532-3710

Fax

(410) 532-4405

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Pablo E. Dibos, M.D.

Title

M.D.

Phone

(410) 532-3710

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pablo E. Dibos, M.D. Former legal business name

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1154514719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-532-3710",
            "fax_number": "410-532-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIBOS-EDERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "DIBOS",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "410-532-3710",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": "MD",
            "license": "D0004683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "R251 001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHP",
            "identifier": "110238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "2788PE",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pablo E. Dibos, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas Diaz
• John Robert Dibello, MD, MS
• Jennifer Dibiagio
• Joseph Francis Diblasi, PHARM.D., MBA
• Julie Ann Diblasio, MA CCC-SLP
• Renee Dicicco, MS
• Erika Jane Dick, CRNA
• James David Dick, PH.D.
• Madeline Ann Dick, M.D.
• Brandon Dickens

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.