Maryland Digestive Disease Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MARYLAND DIGESTIVE DISEASE CENTER

Practice address

4801 Dorsey Hall Dr
Suite 120
Ellicott City, MD 21042-7766

Phone

(410) 730-9363

Fax

(410) 730-2084

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Georgia L Galie

Title

Business Manager

Phone

(301) 498-5500

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Maryland Digestive Disease Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Maryland Digestive Disease Center

  • Specialist
  • Laurel, MD
  • NPI 1396740379
  NPD tax ID
• Maryland Digestive Disease Center

  • Specialist
  • Takoma Park, MD
  • NPI 1912960337
  NPD tax ID

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1194788513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 250",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-498-5500",
            "fax_number": "301-498-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR",
            "address_2": "SUITE 120",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427766",
            "telephone_number": "410-730-9363",
            "fax_number": "410-730-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DIGESTIVE DISEASE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "GALIE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-498-5500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213681300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MD",
            "identifier": "0920MA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS DC",
            "identifier": "A111",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213681301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Dorothy Martinez, M.S. ATC, LAT
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• Maryland Family Care, Inc
• Maryland Pediatric Cardiology Center
• Maryland Podiatry Surgical Center, LLC
• Maryland Psychotherapy Services
• Maryland Rehab and Pain Specialists,LLC

• Specialist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.