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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: July 19, 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.

MS. KATHLEEN A RYAN PA-C
Physician Assistant (Surgical)
5401 OLD COURT ROAD, NORTHWEST HOSPITAL CENTER
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-2200
MRS. KATIE S. WALTON PA-C
Physician Assistant (Surgical)
5401 OLD COURT ROAD
BALTIMORE, MD 21133
Baltimore County (410) 496-7500
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
DR. MAYER GORBATY M.D.
Internal Medicine (Medical Oncology)
5401 OLD COURT ROAD, NORTHWEST HOSPITAL
RANDALLSTOWN, MD 21133
Baltimore County (410) 701-4466
THOMAS J KRISANDA MD
Emergency Medicine
5401 OLD COURT ROAD, NORTHWEST HOSPITAL EMERGENCY DEPT.
RANDALLSTOWN, MD 21133
Baltimore County (410) 521-5950
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

Frequently Asked Questions

What is Mario Dimitrov's NPI number?

The NPI number assigned to this healthcare provider is 1013939255, enumerated as an "individual" on July 24, 2006.

Where is the provider located?

The provider is located at 5401 OLD COURT ROAD NORTHWEST HOSPITAL CENTER RANDALLSTOWN, MD 21133 and the phone number is (410) 521-2200.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.