Park Medical Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PARK MEDICAL ASSOCIATES LLC

Practice address

10755 Falls Rd Ste 200
Lutherville, MD 21093-4520

Phone

(410) 583-7111

Fax

(410) 583-7128

NPI assigned

Jul 5, 2006

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rameen Molavi, M.D.

Title

President

Phone

(104) 583-7112

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1255362653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD STE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD STE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934520",
            "telephone_number": "410-583-7111",
            "fax_number": "410-583-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "MOLAVI",
        "authorized_official_first_name": "RAMEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "104-583-7112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117703600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholette Panas
• Lisa Panitz, F.N.P.
• Kathleen Foley Panteleakis, M.S., CCC-SLP
• Jennifer Papastephanou, MS RD LDN CDE
• Park Medical Associates LLC (Park Medical Laboratory)
• Park Medical Associates Non-Par LLC
• Park Medical Associates Par LLC
• Lee Crandall Park, M.D.
• Devin Parker
• Joelene Parks, LCSW-C

• Internal Medicine Physician in Lutherville, MD
• Providers in Lutherville, 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 Jan 30, 2023; 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.