Medstar Endoscopy Center at Lutherville, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

MEDSTAR ENDOSCOPY CENTER AT LUTHERVILLE, LLC

Practice address

1300 Bellona Ave Ste a
Lutherville, MD 21093-5466

Phone

(410) 821-1900

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert Gilbert

Title

President-Medstar Ambulatory

Phone

(410) 772-6726

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Medstar Endoscopy Center at LuthervilleCCN 21C0001602

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Vranian, MD

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1851307714
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1164934212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BELLONA AVE STE A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BELLONA AVE STE A",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935466",
            "telephone_number": "410-821-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR ENDOSCOPY CENTER AT LUTHERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT-MEDSTAR AMBULATORY",
        "authorized_official_telephone_number": "410-772-6726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin McLaughlin, PT, DPT
• Kevin James McNamara, PT, DPT, CSCS
• Nancy McPartland, LCSW-C
• Caroline McTeague, CRNP
• Jefrey Mead
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Melamed Endodontics LLC
• Judy Yudita Melamed, D.D.S.
• Sherif Meleka, MD

• Endoscopy Clinic/Center in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Endoscopy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.