Provider Demographics
NPI:1538141510
Name:DING, Y. ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:Y.
Middle Name:ROBERT
Last Name:DING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LONDONDERRY DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-2537
Mailing Address - Country:US
Mailing Address - Phone:410-822-0695
Mailing Address - Fax:410-822-0701
Practice Address - Street 1:29466 PINTAIL DR
Practice Address - Street 2:SUITE 14
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-9323
Practice Address - Country:US
Practice Address - Phone:410-822-0695
Practice Address - Fax:410-822-0701
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055412207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH05603Medicare UPIN
MD803MMedicare ID - Type Unspecified