Organization Active NPI

Panayiotis a. Baltatzis, M.D., P.a.

  • Internal Medicine Physician
  • Parkville, MD
National Provider Identifier
1891988440
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D00288949 Issued in MD
Legal business name
PANAYIOTIS A. BALTATZIS, M.D., P.A.
Practice address
8113 Harford Rd
Suite 100
Parkville, MD 21234-5707
Phone
(410) 882-4800
Fax
(410) 882-6667
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Panayiotis A. Baltatzis, M.D.NPI 1417983016
Title
M.D.
Phone
(410) 882-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D00288949 MD Primary

Addresses

Primary practice location

8113 Harford Rd
Suite 100
Parkville, MD 21234-5707

Mailing address

8113 Harford Rd
Suite 100
Parkville, MD 21234-5707
Phone (410) 882-4800

Other identifiers 2

IdentifierTypeStateIssuer
199449OtherMDMEDICARE
PENDINGOtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1891988440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 HARFORD RD",
            "address_2": "SUITE 100",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345707",
            "telephone_number": "410-882-4800",
            "fax_number": "410-882-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 HARFORD RD",
            "address_2": "SUITE 100",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345707",
            "telephone_number": "410-882-4800",
            "fax_number": "410-882-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAYIOTIS A. BALTATZIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "BALTATZIS",
        "authorized_official_first_name": "PANAYIOTIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "410-882-4800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D00288949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "199449",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PENDING",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.