Active NPI
Elizabeth S Gantt, MD
- Gastroenterology Physician
- Rockville, MD
National Provider Identifier
1619973963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D41612
- Practice address
- 9420 Key West
Suite 202
Rockville, MD 20850 - Phone
- (301) 251-9555
- Fax
- (301) 309-0765
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D41612 | MD | Primary |
Addresses
Primary practice location
9420 Key West
Suite 202
Rockville, MD 20850
Mailing address
PO Box 37229
Baltimore, MD 21297
Phone (240) 485-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751141800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D41612 | MD | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| David a. Morowitz | Gastroenterology | Past | Accepting new patients |
| First Class Anesthesia, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Chevy Chase, MD
- NPI 1508280728
-
- Certified Registered Nurse Anesthetist
- Chevy Chase, MD
- NPI 1043524671
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1619973963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37229",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21297",
"telephone_number": "240-485-5200",
"fax_number": "301-625-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 KEY WEST",
"address_2": "SUITE 202",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20850",
"telephone_number": "301-251-9555",
"fax_number": "301-309-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "ELIZABETH",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D41612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "751141800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.