Active NPI
Montgomery Gastroenterology PA
- Gastroenterology Physician
- Wheaton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
- Last updated
- Feb 4, 2011
- 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
- David B Doman, M.D.
- Title
- President
- Phone
- (301) 942-3550
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 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 DirectoryOwnership & 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.
-
- Ambulatory Surgical Clinic/Center
- Silver Spring, MD
- NPI 1457582835
Practitioners & affiliated clinicians
Practitioners 1
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
- Wheaton, MD
- NPI 1700889631
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
- Mohamed Wajeed Khan, M.D. L.L.C. (M. Wajeed Khan, M.D,)
- Mohammad a Khalid MD PC
- Montgomery County Maryland Government
- Montgomery Endoscopy Center
- Montgomery Foot and Ankle Associates
- Montgomery Renal Associates P.a.
- Ionie Amali Moragahakumbura, DPT
- Raymond Benito Morales, PT
- Donald Mouengue Mikala
- Tenaye Mulat
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.