Organization Active NPI

Anne Arundel Gastroenterology Associates

  • Gastroenterology Physician
  • Annapolis, MD
National Provider Identifier
1154311017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES
Practice address
171 Defense Hwy
Annapolis, MD 21401-7004
Phone
(410) 571-1524
Fax
(410) 224-4960
NPI assigned
Oct 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Evans
Title
Administrator
Phone
(410) 571-1524

Specialties & licenses 1

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

Addresses

Primary practice location

171 Defense Hwy
Annapolis, MD 21401-7004

Mailing address

171 Defense Hwy
Annapolis, MD 21401-7004
Phone (410) 571-1524

Other names 1

  • AAGA Other name

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Gastroente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2139 Espey Ct
Ste 4
Crofton, MD 21114
Phone (443) 584-3047

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154311017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DEFENSE HWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017004",
            "telephone_number": "410-571-1524",
            "fax_number": "410-224-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DEFENSE HWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017004",
            "telephone_number": "410-571-1524",
            "fax_number": "410-224-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-571-1524",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.