Gi Wellness Center of Frederick, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

GI WELLNESS CENTER OF FREDERICK, LLC

Practice address

165 Thomas Johnson Dr
Suite B&C
Frederick, MD 21702-4742

Phone

(301) 620-4200

NPI assigned

Dec 21, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Edward Andochick, M.D., D.D.S

Title

Owner

Phone

(240) 446-9855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Gi Wellness Center of FrederickCCN 21C0001579

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Gi Wellness Center of Frederick LLCCCN 21D2113134

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moustafa Said Ahmed, M.D.

  • Gastroenterology Physician
  • Frederick, MD
  • NPI 1225182751
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013372986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 THOMAS JOHNSON DR",
            "address_2": "SUITE B&C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024742",
            "telephone_number": "301-620-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 THOMAS JOHNSON DR",
            "address_2": "SUITE B&C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024742",
            "telephone_number": "301-620-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI WELLNESS CENTER OF FREDERICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDOCHICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-446-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Ghanayem, LMSW
• Michele Ghim, MD
• Joyce J Ghiorzi, M.D.
• Ghulam Abbas MD LLC
• Ghulam Abbas, MD LLC
• Nancy Lim Giang, DPT
• Frank Giannandrea, PHARMD
• Giant of Maryland LLC
• Giant of Maryland LLC
• Giant of Maryland LLC

• Endoscopy Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Endoscopy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.