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MR. MARIO KLIMENTOV DIMITROV PA-C
NPI 1013939255
Physician Assistant - Medical in Randallstown, MD

Active since July 24, 2006
5401 OLD COURT ROAD, NORTHWEST HOSPITAL CENTER, RANDALLSTOWN, MD 21133(410) 521-2200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mario Klimentov Dimitrov Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARIO KLIMENTOV DIMITROV PA-C (NPI 1013939255) is an individual medical provider in Randallstown, Maryland, licensed in Maryland (C0002204) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013939255
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARIO KLIMENTOV DIMITROVCredential: PA-C
Location Address5401 OLD COURT ROAD, NORTHWEST HOSPITAL CENTERRandallstown, MD 21133
Mailing Address5401 Old Court Rd, Attn: CredentialingRandallstown, MD 21133-5103 · (410) 601-5524 · Fax (410) 601-8946
Phone(410) 521-2200
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013939255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0002204
5401 OLD COURT ROAD, Randallstown, MD 21133
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA M QUARLES PA
Physician Assistant
5401 OLD COURT ROAD, NORTHWEST HOSPITAL
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-5950
MS. KRISTY MICHELLE FOGLE PA-C
Physician Assistant
5401 OLD COURT ROAD, NORTHWEST HOSPITAL-EMERGENCY DEPARTMENT
RANDALLSTOWN, MD 21133
Baltimore County (443) 848-8705
MS. KATHLEEN A RYAN PA-C
Physician Assistant (Surgical)
5401 OLD COURT ROAD, NORTHWEST HOSPITAL CENTER
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
SINAI HOSPITAL OF BALTIMORE INC
Ophthalmology
5401 OLD COURT ROAD
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
SINAI HOSPITAL OF BALTIMORE INC
Surgery (Surgical Oncology)
5401 OLD COURT ROAD
RANDALLSTOWN, MD 21133
Baltimore County (410) 601-8317
DR. MAYER GORBATY M.D.
Internal Medicine (Medical Oncology)
5401 OLD COURT ROAD, NORTHWEST HOSPITAL
RANDALLSTOWN, MD 21133
Baltimore County (410) 701-4466
SINAI HOSPITAL OF BALTIMORE, INC.
Internal Medicine
5401 OLD COURT ROAD
RANDALLSTOWN, MD 21133
Baltimore County (410) 601-6840
SINAI HOSPITAL OF BALTIMORE INC
Internal Medicine (Hospice and Palliative Medicine)
5401 OLD COURT ROAD
RANDALLSTOWN, MD 21133
Baltimore County (410) 578-1094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Dimitrov's NPI number?

The NPI number for Mario Dimitrov is 1013939255. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mario Dimitrov located?

Mario Dimitrov practices at 5401 Old Court Road Northwest Hospital Center, Randallstown, MD 21133. The listed phone number is (410) 521-2200.

What is Mario Dimitrov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mario Dimitrov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.