Active NPI
Gastroenterology Associates, Pear M. Enam, M.D., PA
- Specialist
- Hagerstown, MD
National Provider Identifier
1104934942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA
- Practice address
- 11110 Medical Campus Rd
Suite 250
Hagerstown, MD 21742-6700 - Phone
- (301) 733-4404
- Fax
- (301) 733-3984
- NPI assigned
- Aug 29, 2006
- Last updated
- Aug 24, 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
- Stacey Blizzard
- Title
- Office Manager
- Phone
- (301) 733-4404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11110 Medical Campus Rd
Suite 250
Hagerstown, MD 21742-6700
Mailing address
11110 Medical Campus Rd
Suite 250
Hagerstown, MD 21742-6700
Phone (301) 733-4404
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 533100 | Other | AETNA - ENAM | |
| 1538148283 | Other | INDIVIDUAL NPI - CHOUDARI | |
| 4400511 | Other | AETNA - PPO - ENAM | |
| 265001100 | Medicaid | MD | |
| 614460-02 | Other | CAREFIRST - HANIF | |
| 2123375 | Other | ALLIANCE - ENAM | |
| 526933-02 | Other | CAREFIRST - ENAM | |
| 1780687616 | Other | NPI INDIVIDUAL - ENAM | |
| 2123380 | Other | ALLIANCE - HANIF | |
| 5531514 | Other | AETNA - PPO - GROUP | |
| 1285637116 | Other | NPI INDIVIDUAL - HANIF | |
| 5476652 | Other | AETNA - PPO - HANIF | |
| 2003711 | Other | AETNA - HMO - GOUP | |
| 2010644 | Other | AETNA - HANIF | |
| 515001900 | Medicaid | MD | |
| 606031500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11110 Medical Campus Rd
Ste 250
Hagerstown, MD 21742
Phone (301) 665-4960
1933 Market Square Blvd
Waynesboro, PA 17268
Phone (717) 655-7536
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Gastroenterology Physician
- Hagerstown, MD
- NPI 1093354698
-
- Anatomic Pathology & Clinical Pathology Physician
- Bowie, MD
- NPI 1922030477
-
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
- NPI 1164638151
-
- Gastroenterology Physician
- Hagerstown, MD
- NPI 1538148283
-
- Specialist
- Hagerstown, MD
- NPI 1780687616
-
- Gastroenterology Physician
- Hagerstown, MD
- NPI 1285637116
-
- Physician Assistant
- Hagerstown, MD
- NPI 1093096794
-
- Hospitalist Physician
- Waynesboro, PA
- NPI 1871590836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661299200000",
"number": "1104934942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 250",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-733-4404",
"fax_number": "301-733-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD",
"address_2": "SUITE 250",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426700",
"telephone_number": "301-733-4404",
"fax_number": "301-733-3984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A",
"authorized_official_last_name": "BLIZZARD",
"authorized_official_first_name": "STACEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-733-4404"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - ENAM",
"identifier": "533100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI - CHOUDARI",
"identifier": "1538148283",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - PPO - ENAM",
"identifier": "4400511",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265001100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST - HANIF",
"identifier": "614460-02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE - ENAM",
"identifier": "2123375",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST - ENAM",
"identifier": "526933-02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL - ENAM",
"identifier": "1780687616",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE - HANIF",
"identifier": "2123380",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - PPO - GROUP",
"identifier": "5531514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL - HANIF",
"identifier": "1285637116",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - PPO - HANIF",
"identifier": "5476652",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO - GOUP",
"identifier": "2003711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HANIF",
"identifier": "2010644",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "515001900",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "606031500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.