NPIMap

Organization Active NPI

Carroll Digestive Associates, P.a.

  • Gastroenterology Physician
  • Westminster, MD
National Provider Identifier
1447319751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CARROLL DIGESTIVE ASSOCIATES, P.A.
Practice address
216 A Washington Heights Medical Center
Westminster, MD 21157
Phone
(410) 848-1212
Fax
(410) 848-9744
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Choon Kyu Kim, M.D.NPI 1245398874
Title
President
Phone
(410) 848-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

216 A Washington Heights Medical Center
Westminster, MD 21157

Mailing address

216 A Washington Heights Medical Center
Westminster, MD 21157
Phone (410) 848-1212

National Provider Directory

National Provider Directory

Locations

216 Washington Heights Med Ctr
Westminster, MD 21157
Phone (410) 848-1212

216 Washington Heights Med Ctr
Ste A
Westminster, MD 21157
Phone (410) 848-1212

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447319751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 A WASHINGTON HEIGHTS MEDICAL CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-1212",
            "fax_number": "410-848-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 A WASHINGTON HEIGHTS MEDICAL CENTER",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "21157",
            "telephone_number": "410-848-1212",
            "fax_number": "410-848-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL DIGESTIVE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHOON",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-848-1212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.