Active NPI
Digestive Disease Associates, LLC
- Certified Registered Nurse Anesthetist
- Annapolis, MD
National Provider Identifier
1245061720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- DIGESTIVE DISEASE ASSOCIATES, LLC
- Practice address
- 621 Ridgely Ave Ste 101
Annapolis, MD 21401-1087 - Phone
- (410) 224-3636
- NPI assigned
- Aug 8, 2024
- 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
- Alan Oliver, CEO
- Title
- Ceo
- Phone
- (786) 530-3820
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
621 Ridgely Ave Ste 101
Annapolis, MD 21401-1087
Mailing address
621 Ridgely Ave Ste 101
Annapolis, MD 21401-1087
Phone (410) 224-3636
Other names 1
- MDTEC ASC
National Provider Directory
National Provider Directory- Tax ID family
- Digestive Disease Associates LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Towson, MD
- NPI 1013748581
-
- Certified Registered Nurse Anesthetist
- Columbia, MD
- NPI 1891526364
Locations
621 Ridgely Ave
Ste 101
Annapolis, MD 21401
Phone (410) 224-3636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747353600000",
"number": "1245061720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 RIDGELY AVE STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011087",
"telephone_number": "410-224-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 RIDGELY AVE STE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011087",
"telephone_number": "410-224-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A",
"authorized_official_last_name": "OLIVER",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-530-3820",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MDTEC ASC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MDTEC ASC",
"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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.