Digestive Disease Consultant of Frederick Endoscopy Ste

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A1141 Issued in MD

Legal business name

DIGESTIVE DISEASE CONSULTANT OF FREDERICK ENDOSCOPY STE

Practice address

915 Toll House Ave
Ste 201
Frederick, MD 21701-5901

Phone

(301) 662-7822

Fax

(301) 662-8883

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Amasa Frizzell, MD

Title

Owner

Phone

(301) 662-7822

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1386667681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TOLL HOUSE AVE",
            "address_2": "STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015901",
            "telephone_number": "301-662-7822",
            "fax_number": "301-662-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TOLL HOUSE AVE",
            "address_2": "STE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015901",
            "telephone_number": "301-662-7822",
            "fax_number": "301-662-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CONSULTANT OF FREDERICK ENDOSCOPY STE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "FRIZZELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "AMASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-662-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "A1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5149501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "235932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320271200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly L Dicarlantonio, M.ED, LCMHC. NCC
• Emmy-Lou Olivia Dickinson, P.A., MPH
• Evan Nathan Dickstein, NP-PMH
• Ryan Craig Diener, LAC, DIPL. CH
• Vincent Edwin Difabio, D.D.S.
• Digestive Disease Solutions, LLC
• Teanna Diggs
• John Joseph Digiovanni Jr., D.O.
• Digitrace Care Services Inc
• Digitrace Care Services Inc

• Clinic/Center in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.