Organization Active NPI

Maryland Digestive Disease Center

  • Specialist
  • Laurel, MD
National Provider Identifier
1396740379
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MARYLAND DIGESTIVE DISEASE CENTER
Practice address
7350 Van Dusen Rd
Ste 210
Laurel, MD 20707-5268
Phone
(301) 498-5500
Fax
(301) 498-7346
NPI assigned
Jun 16, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707-5268

Mailing address

7350 Van Dusen Rd
Ste 250
Laurel, MD 20707-5268
Phone (301) 498-5500

Other identifiers 3

IdentifierTypeStateIssuer
2516OtherDCCAREFIRST BSDC
S553MAOtherMDCAREFIRST BSMD
C12782OtherMDRAILROAD MEDICARE

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1396740379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "STE 250",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075268",
            "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": "7350 VAN DUSEN RD",
            "address_2": "STE 210",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075268",
            "telephone_number": "301-498-5500",
            "fax_number": "301-498-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND DIGESTIVE DISEASE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-10-22",
        "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": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BSDC",
            "identifier": "2516",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BSMD",
            "identifier": "S553MA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C12782",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.