Montgomery Endoscopy Center

Key facts

NPI: 1457582835
Entity type: Organization (NPI type 2)
Primary specialty: Ambulatory Surgical Clinic/Center 261QA1903X
License: A1024 (MD)
Legal business name: MONTGOMERY ENDOSCOPY CENTER
Practice address: 12012 Veirs Mill Rd
Silver Spring, MD 20906-4513
Phone: (301) 942-3550
Fax: (301) 933-3621
NPI assigned: Aug 3, 2009
Organization subpart: Yes
Parent organization (as reported): MONTGOMERY GASTROENTEROLOGY PA

Authorized official

Name: Dr. Howard Goldberg, MD
Title: Managing Partner
Phone: (301) 942-3550

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Montgomery Gastroenterology PA Gastroenterology Physician · Wheaton, MD · NPI 1124024682

NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

David B Doman, MD Gastroenterology Physician · Wheaton, MD · NPI 1700889631

NPD

National Provider Directory

Part of: DRS Doman Goldberg and

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulatory Surgical Clinic/Center	261QA1903X	A1024	MD	Yes

Addresses

Primary practice location

12012 Veirs Mill Rd
Silver Spring, MD 20906-4513

Mailing address

12012 Veirs Mill Rd
Silver Spring, MD 20906-4513
Phone (301) 942-3550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 3, 2009.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1457582835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 VEIRS MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064513",
            "telephone_number": "301-942-3550",
            "fax_number": "301-933-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 VEIRS MILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064513",
            "telephone_number": "301-942-3550",
            "fax_number": "301-933-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY ENDOSCOPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY GASTROENTEROLOGY PA",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-942-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Ambulatory Surgical Clinic/Center in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.