Active NPI
Ing-on Piamtong, FNP-C
- Family Nurse Practitioner
- Aberdeen, MD
National Provider Identifier
1306697164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R217484
- Practice address
- 115 W Bel Air Ave
Aberdeen, MD 21001-3221 - Phone
- (410) 272-3377
- Fax
- (410) 877-1058
- NPI assigned
- Mar 29, 2024
- Last updated
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R217484 | MD | Primary |
Addresses
Primary practice location
115 W Bel Air Ave
Aberdeen, MD 21001-3221
Mailing address
115 W Bel Air Ave
Aberdeen, MD 21001-3221
Phone (410) 272-3377
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R217484 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Primary Care LLC | Family Medicine | Current | Accepting new patients |
Locations
115 W Bel Air Ave
Aberdeen, MD 21001
Phone (410) 272-3007
Interoperability endpoints
- ingon.piamtong@578.securemail.prognocis.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1306697164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W BEL AIR AVE",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210013221",
"telephone_number": "410-272-3377",
"fax_number": "410-877-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W BEL AIR AVE",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210013221",
"telephone_number": "410-272-3377",
"fax_number": "410-877-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIAMTONG",
"first_name": "ING-ON",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R217484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.