PEYAPONG PATANAPHAN, M.D., PA
NPI 1992961148
Specialist in Randallstown, MD

Q: What is Pat Tana, M.D., PA's NPI number?

The NPI number for Pat Tana, M.D., PA is 1992961148. It was assigned to this organization in the NPPES registry on August 6, 2008. The provider is also known as Peyapong Patanaphan, M.D., PA.

Q: What is Pat Tana, M.D., PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 06, 2008

5400 OLD COURT RD, SUITE 101, RANDALLSTOWN, MD 21133(410) 922-1661(410) 922-0365 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Peyapong Patanaphan, M.d., Pa NPPES

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

PEYAPONG PATANAPHAN, M.D., PA (NPI 1992961148) is a healthcare organization registered as a specialist in Randallstown, Maryland and active in the NPI registry since August 2008. The organization lists Pat Tana, Owner, as its authorized official.

NPPES Registry Identity

NPI1992961148

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePAT TANA, M.D., PA

Location Address5400 OLD COURT RD, SUITE 101Randallstown, MD 21133-5100

Mailing Address5400 Old Court Rd, Suite 101Randallstown, MD 21133-5100 · (410) 922-1661 · Fax (410) 922-0365

Phone(410) 922-1661

Fax(410) 922-0365

Organization SubpartNo

Authorized OfficialPat TanaOwner · (410) 922-1661

Enumeration DateAugust 6, 2008

Last NPPES UpdateJanuary 7, 2009

✔ NPI 1992961148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MD · D21797

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5400 OLD COURT RD, Randallstown, MD 21133

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Other Names 1

Other NamePeyapong Patanaphan, M.d., Pa

Other Identifiers 3

Medicare UPINC61439MD

Medicare PIN6653MD

Medicaid979801300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

DR. KAREN Y PERKINS M.D.

Specialist

5400 OLD COURT RD, SUITE 207
RANDALLSTOWN, MD 21133

Baltimore County (410) 655-6900

DRS. BRENNER & MITNICK, P.A.

Pediatrics

5400 OLD COURT RD, SUITE 105
RANDALLSTOWN, MD 21133

Baltimore County (410) 922-1133

TRISTATE HOME HEALTH SERVICES INC.

Nursing Care

5400 OLD COURT RD, SUITE # 304
RANDALLSTOWN, MD 21133

Baltimore County (410) 922-1200

GRACE MEDICAL CENTER, INC.

Clinic/Center (Adult Day Care)

5400 OLD COURT RD
RANDALLSTOWN, MD 21133

Baltimore County (410) 383-4952

NEW HORIZON WOMEN'S CARE, LLC

Specialist

5400 OLD COURT RD, SUITE 302
RANDALLSTOWN, MD 21133

Baltimore County (410) 521-3636

E.PASMANIK, MD, LLC

Clinic/Center (Primary Care)

5400 OLD COURT RD
RANDALLSTOWN, MD 21133

Baltimore County (410) 521-4211

GRACE MEDICAL CENTER, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)

5400 OLD COURT RD
RANDALLSTOWN, MD 21133

Baltimore County (410) 383-4952

GRACE MEDICAL CENTER, INC.

Case Management

5400 OLD COURT RD
RANDALLSTOWN, MD 21133

Baltimore County (410) 383-5101

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 Pat Tana, M.D., PA's NPI number?

The NPI number for Pat Tana, M.D., PA is 1992961148. It was assigned to this organization in the NPPES registry on August 6, 2008. The provider is also known as Peyapong Patanaphan, M.D., PA.

Where is Pat Tana, M.D., PA located?

Pat Tana, M.D., PA is located at 5400 Old Court Rd Suite 101, Randallstown, MD 21133. The listed phone number is (410) 922-1661.

What is Pat Tana, M.D., PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pat Tana, M.D., PA was last updated on January 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.