Provider Demographics
NPI:1669440681
Name:APPIOTT, JOHN A (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:APPIOTT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 HAYMAN DR
Mailing Address - Street 2:
Mailing Address - City:FEDERALSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21632-2626
Mailing Address - Country:US
Mailing Address - Phone:410-754-2440
Mailing Address - Fax:410-754-2443
Practice Address - Street 1:3304 HAYMAN DR
Practice Address - Street 2:
Practice Address - City:FEDERALSBURG
Practice Address - State:MD
Practice Address - Zip Code:21632-2626
Practice Address - Country:US
Practice Address - Phone:410-754-2440
Practice Address - Fax:410-754-2443
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0047522207Q00000X
DEC20004603207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001175502Medicaid
MD372261900Medicaid
DE0001175502Medicaid
DEG00976Medicare ID - Type Unspecified
DE0001175502Medicaid