Calvert Digestive Disease Associates, Endoscopy and Surgery Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

D0070992 Issued in MD

Legal business name

CALVERT DIGESTIVE DISEASE ASSOCIATES, ENDOSCOPY AND SURGERY CENTER LLC

Practice address

985 Prince Frederick Blvd Ste 104
Prince Frederick, MD 20678-3490

Phone

(410) 414-5309

Fax

(410) 414-6179

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Dolores Yvette Rhodes-Height, MDNPI 1558310698

Title

Owner/Ceo

Phone

(410) 535-2005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Calvert Digestive Disease Associates Endoscopy and Surgery Center LLCCCN 21C0001605

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 6

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

• Dolores Yvette Rhodes-Height, MD

  • Gastroenterology Physician
  • Prince Frederick, MD
  • NPI 1558310698
  NPD (past) Authorized official
• Yvonne Renee Bright, MD

  • Gastroenterology Physician
  • Prince Frederick, MD
  • NPI 1528117124
  NPD (past)
• Leon Allen Drumm, CRNP

  • Family Nurse Practitioner
  • Solomons, MD
  • NPI 1417613431
  NPD (past)
• Alexander Stephen Graham

  • Physician Assistant
  • Prince Frederick, MD
  • NPI 1720815764
  NPD (past)
• Catherine Heilig, CRNP

  • Family Nurse Practitioner
  • Prince Frederick, MD
  • NPI 1982759411
  NPD (past)
• Hamna Fahad, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1457875346
  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1699219766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 104",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783490",
            "telephone_number": "410-414-5309",
            "fax_number": "410-414-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 104",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783490",
            "telephone_number": "410-414-5309",
            "fax_number": "410-414-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Hospital Rd",
            "address_2": "Suite #306",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784019",
            "country_code": "US",
            "telephone_number": "410-414-5309",
            "fax_number": "410-414-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALVERT DIGESTIVE DISEASE ASSOCIATES, ENDOSCOPY AND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "RHODES-HEIGHT",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-535-2005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MD",
            "license": "D0070992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvert County Public School
• Calvert County Public Schools
• Calvert Dental LLC
• Calvert Dentistry Moy P.a. (Calvert Dentistry)
• Calvert Dermatology, LLC
• Calvert Ear Nose & Throat Associates Inc
• Calvert Family Practice Associates, P.a.
• Calvert Health Ventures Inc
• Calvert Hospice, Inc (Palliative Medicine of Southern Maryland)
• Calvert Internal Medicine Group PA

• Endoscopy Clinic/Center in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Endoscopy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.