Organization Active NPI

Digestive Disease Specialists, P.a.

  • Gastroenterology Physician
  • Bowie, MD
National Provider Identifier
1043360373
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASE SPECIALISTS, P.A.
Practice address
4000 Mitchellville Rd
Suite 430B
Bowie, MD 20716-3104
Phone
(301) 262-8602
Fax
(301) 805-7784
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Napoleon Cajucom Marcelo, M.D.
Title
President
Phone
(301) 262-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

4000 Mitchellville Rd
Suite 430B
Bowie, MD 20716-3104

Mailing address

4000 Mitchellville Rd
Suite 430B
Bowie, MD 20716-3104
Phone (301) 262-8602

National Provider Directory

National Provider Directory

Locations

4000 Mitchellville Rd
Ste 4308
Bowie, MD 20716
Phone (301) 262-8602

2101 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1043360373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 430B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-262-8602",
            "fax_number": "301-805-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 430B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-262-8602",
            "fax_number": "301-805-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "MARCELO",
        "authorized_official_first_name": "NAPOLEON",
        "authorized_official_middle_name": "CAJUCOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-262-8602",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.