NPIMap

Organization Active NPI

Bel Air Gastroenterology LLC

  • Gastroenterology Physician
  • Bel Air, MD
National Provider Identifier
1669710802
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0051090 Issued in MD
Legal business name
BEL AIR GASTROENTEROLOGY LLC
Practice address
602 S Atwood Rd
Suite 205
Bel Air, MD 21014-4172
Phone
(410) 803-2211
Fax
(410) 420-9841
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Moorkath Unni, MDNPI 1346261278
Title
Owner
Phone
(410) 335-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X D0051090 MD Primary

Addresses

Primary practice location

602 S Atwood Rd
Suite 205
Bel Air, MD 21014-4172

Mailing address

703 Nicholas LN
Cockeysville, MD 21030-1319
Phone (410) 803-2211

National Provider Directory

National Provider Directory
Tax ID family
Bel Air Gastroenterology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

602 S Atwood Rd
Ste 205
Bel Air, MD 21014
Phone (410) 588-5681

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1669710802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 NICHOLAS LN",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210301319",
            "telephone_number": "410-803-2211",
            "fax_number": "410-420-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S ATWOOD RD",
            "address_2": "SUITE 205",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144172",
            "telephone_number": "410-803-2211",
            "fax_number": "410-420-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL AIR GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "UNNI",
        "authorized_official_first_name": "MOORKATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-335-0008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0051090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.