Anne Arundel Digestive Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A1208 Issued in MD

Legal business name

ANNE ARUNDEL DIGESTIVE CENTER

Practice address

8028 Ritchie Highway
Suite 142
Pasadena, MD 21122

Phone

(410) 766-1012

Fax

(410) 766-2415

NPI assigned

Sep 19, 2006

Last updated

Nov 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alif A Manejwala, MDNPI 1679681902

Title

Medical Director

Phone

(410) 766-1012

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glen Burnie Endoscopy, LLC Other name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Anne Arundel Digestive CenterCCN 21C0001208

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 6

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.

• Alif Manejwala, MD

  • Gastroenterology Physician
  • Glen Burnie, MD
  • NPI 1679681902
  Medicare reassignment NPD Authorized official
• Richard Alan Baum, MD

  • Gastroenterology Physician
  • Glen Burnie, MD
  • NPI 1104888254
  Medicare reassignment NPD
• David Mark Fishbein, M.D.

  • Specialist
  • Pasadena, MD
  • NPI 1295753523
  Medicare reassignment NPD
• Matilda Nana Amba Hagan, MD

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1346417912
  Medicare reassignment NPD
• George Kurian, M.D.

  • Gastroenterology Physician
  • Glen Burnie, MD
  • NPI 1285663070
  Medicare reassignment NPD
• Hwan Young Yoo, MD

  • Gastroenterology Physician
  • Salisbury, MD
  • NPI 1730173436
  Medicare reassignment NPD

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1740387257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HIGHWAY",
            "address_2": "SUITE 142",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-766-1012",
            "fax_number": "410-766-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HIGHWAY",
            "address_2": "SUITE 142",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "21122",
            "telephone_number": "410-766-1012",
            "fax_number": "410-766-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ARUNDEL DIGESTIVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "MANEJWALA",
        "authorized_official_first_name": "ALIF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-766-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "A1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012002-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Burnie Endoscopy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George M Andrews, PH.D., LCSW-C
• Lisa Andrews, LGSW
• Anesthesia Company, LLC
• Anesthesia Company, LLC
• Annapolis Rheumatology LLC
• Anne Arundel Gastroenterology Associates PA
• Anne Arundel MRI LLC
• Anne Arundel-Sca Surgicenter, LLC
• Anovar MD LLC (Home Instead)
• Sathish Arcot Jaishankervel, MS.,RPH

• Clinic/Center in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.