Agaton H. Escalante, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AGATON H. ESCALANTE, MD, LLC

Doing business as

Agaton H. Escalante, MD LLC
Agaton H. Escalante, MD, LLC

Practice address

8870 Belair Rd
Nottingham, MD 21236-2401

Phone

(410) 256-8510

Fax

(410) 256-2594

NPI assigned

Jan 17, 2023

Last updated

Feb 1, 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

Agaton H Escalante, MDNPI 1689748816

Title

Physician

Phone

(443) 564-6463

Specialties & licenses 1

Addresses

Other names 2

• AGATON H. ESCALANTE, MD LLC Doing business as
• Agaton H. Escalante, MD, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agaton Holazo Escalante, MD

  • Internal Medicine Physician
  • Jarrettsville, MD
  • NPI 1689748816
  Medicare reassignment NPD Authorized official
• Ophelia Baltazar, M.D.

  • Pediatric Adolescent Medicine Physician
  • Jarrettsville, MD
  • NPI 1033120738
  NPD (past)
• Sofia M Suriel, MD

  • Internal Medicine Physician
  • Nottingham, MD
  • NPI 1962451179
  NPD (past)

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1447965157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LOCHVIEW TER",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210932711",
            "telephone_number": "410-557-9322",
            "fax_number": "410-256-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362401",
            "telephone_number": "410-256-8510",
            "fax_number": "410-256-2594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3805 Norrisville Rd",
            "address_purpose": "LOCATION",
            "city": "Jarrettsville",
            "state": "MD",
            "postal_code": "210841421",
            "country_code": "US",
            "telephone_number": "410-557-9322 x1",
            "fax_number": "410-557-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGATON H. ESCALANTE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "AGATON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "443-564-6463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGATON H. ESCALANTE, MD LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agaton H. Escalante, MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Nottingham, MD
• Providers in Nottingham, 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 Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.