Active NPI
Gi Wellness Center of Frederick, LLC
- Endoscopy Clinic/Center
- Frederick, MD
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Ambulatory surgical center
- Care Compare: Ambulatory surgical center
- Laboratory certificates & supplier records
- National Provider Directory
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Frederick, MD
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- 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
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | MD | Primary |
Addresses
Primary practice location
165 Thomas Johnson Dr
Suite B&C
Frederick, MD 21702-4742
Mailing address
165 Thomas Johnson Dr
Suite B&C
Frederick, MD 21702-4742
Phone (301) 620-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160303001431 | MD | Part B Supplier - Ambulatory Surgical Center | 2567768344 | Practice locations: Frederick, MD |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gi Wellness Center of Frederick
- Medicare certification status
- Active
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Gi Wellness Center of Frederick LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2113134 | Gi Wellness Center of Frederick, LLC | Certificate of waiver | May 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic and Reconstructive Surgery Physician
- Frederick, MD
- NPI 1083616601
-
- Gastroenterology Physician
- Frederick, MD
- NPI 1225182751
NPI Registry JSON
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": []
}
Other providers in Frederick, MD
Sources for this page
- 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.