NPIMap

Organization Active NPI

Bosphorus Pediatric, LLC

Doing business as Annapolis Pediatric Gastroenterology

  • Specialist
  • Annapolis, MD
National Provider Identifier
1538566856
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0048164 Issued in MD
Legal business name
BOSPHORUS PEDIATRIC, LLC
Doing business as
Annapolis Pediatric Gastroenterology
Practice address
130 Lubrano Dr Ste 112
Annapolis, MD 21401-7192
Phone
(443) 837-7600
Fax
(443) 837-7688
NPI assigned
Dec 2, 2014
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Dr. Ahmet Aybar, MDNPI 1831144849
Title
Owner-Provider
Phone
(443) 837-7600

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
Specialist 174400000X D0048164 MD Primary

Addresses

Primary practice location

130 Lubrano Dr Ste 112
Annapolis, MD 21401-7192

Mailing address

130 Lubrano Dr Ste 112
Annapolis, MD 21401-7192
Phone (443) 837-7600

Other identifiers 1

IdentifierTypeStateIssuer
692310100MedicaidMD

Other names 1

  • Annapolis Pediatric Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

130 Lubrano Dr
Ste 112
Annapolis, MD 21401
Phone (443) 837-7600

Practitioners & affiliated clinicians

Practitioners 1

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": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1538566856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LUBRANO DR STE 112",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017192",
            "telephone_number": "443-837-7600",
            "fax_number": "443-837-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LUBRANO DR STE 112",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017192",
            "telephone_number": "443-837-7600",
            "fax_number": "443-837-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSPHORUS PEDIATRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "AYBAR",
        "authorized_official_first_name": "AHMET",
        "authorized_official_title_or_position": "OWNER-PROVIDER",
        "authorized_official_telephone_number": "443-837-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0048164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "692310100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Pediatric Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Annapolis Pediatric Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2018; 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.