Active NPI
Gary Zartarian, MD
- Gastroenterology Physician
- Brunswick, ME
National Provider Identifier
1093765372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 57354
- Practice address
- 121 Medical Center Dr
Suite 3400
Brunswick, ME 04011-2653 - Phone
- (508) 548-8989
- Fax
- (508) 548-5789
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 57354 | MA | Primary |
Addresses
Primary practice location
121 Medical Center Dr
Suite 3400
Brunswick, ME 04011-2653
Mailing address
121 Medical Center Dr
Suite 3400
Brunswick, ME 04011-2653
Phone (508) 548-8989
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057354 | Other | MA | TUFTS HEALTH |
| 3047202 | Medicaid | MA | |
| 30082 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Cobb MD LLC | Gastroenterology | Past | Accepting new patients |
| Brunswick Gastroenterology Associates | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Brunswick, ME
- NPI 1245248970
-
- Gastroenterology Physician
- Falmouth, MA
- NPI 1033359179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1093765372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 3400",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "508-548-8989",
"fax_number": "508-548-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MEDICAL CENTER DR",
"address_2": "SUITE 3400",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112653",
"telephone_number": "508-548-8989",
"fax_number": "508-548-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARTARIAN",
"first_name": "GARY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "57354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "057354",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3047202",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "30082",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.