NPIMap

Organization Active NPI

Montgomery Gastroenterology PA

  • Gastroenterology Physician
  • Wheaton, MD
National Provider Identifier
1124024682
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MONTGOMERY GASTROENTEROLOGY PA
Practice address
12012 Veirs Mill Rd
Wheaton, MD 20906-4513
Phone
(301) 942-3550
Fax
(301) 933-3621
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
David B Doman, M.D.
Title
President
Phone
(301) 942-3550

Specialties & licenses 1

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

Addresses

Primary practice location

12012 Veirs Mill Rd
Wheaton, MD 20906-4513

Mailing address

12012 Veirs Mill Rd
Wheaton, MD 20906-4513
Phone (301) 942-3550

National Provider Directory

National Provider Directory

Locations

12012 Veirs Mill Rd
Silver Spring, MD 20906
Phone (301) 370-0810

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1124024682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209064513",
            "telephone_number": "301-942-3550",
            "fax_number": "301-933-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209064513",
            "telephone_number": "301-942-3550",
            "fax_number": "301-933-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "DOMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-942-3550",
        "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 Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.