Organization Active NPI

Gastroenterology and Hepatology of Greater Washington Inc

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1164888970
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0080759 Issued in MD
Legal business name
GASTROENTEROLOGY AND HEPATOLOGY OF GREATER WASHINGTON INC
Practice address
7247 Hanover Pkwy
Greenbelt, MD 20770-3661
Phone
(301) 345-5531
Fax
(301) 345-5608
NPI assigned
Jan 8, 2016
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Dr. Suzan Ebrahimi, M.D.NPI 1194083899
Title
President/Medical Doctor
Phone
(301) 613-3069

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)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0080759 MD Primary

Addresses

Primary practice location

7247 Hanover Pkwy
Greenbelt, MD 20770-3661

Mailing address

PO Box 70602
Bethesda, MD 20813-0602
Phone (301) 345-5513

National Provider Directory

National Provider Directory

Locations

7247 Hanover Pkwy
Greenbelt, MD 20770
Phone (301) 345-5531

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1164888970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70602",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208130602",
            "telephone_number": "301-345-5513",
            "fax_number": "301-345-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7247 HANOVER PKWY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703661",
            "telephone_number": "301-345-5531",
            "fax_number": "301-345-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY AND HEPATOLOGY OF GREATER WASHINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "301-613-3069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0080759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.