Gastrointestinal Associates of Maryland PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GASTROINTESTINAL ASSOCIATES OF MARYLAND PA

Practice address

6710 Oxon Hill Rd Ste 305
Oxon Hill, MD 20745-1117

Phone

(301) 292-2300

Fax

(301) 292-8025

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Legina Michelle Gray

Title

Practice Administrator

Phone

(301) 645-8035

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gastrointestinal Associates of Maryland PA

  • Gastroenterology Physician
  • Waldorf, MD
  • NPI 1164404125

  7911079181

  Same PAC ID

Locations

Practitioners 5

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

• Lornette B Mills, MD

  • Gastroenterology Physician
  • Waldorf, MD
  • NPI 1689673741

  DC

  Medicare reassignment Care Compare group
• Anandita Ashoke Datta, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bowie, MD
  • NPI 1922030477
  NPD
• Christine P Lewis, M.D.

  • Gastroenterology Physician
  • Hagerstown, MD
  • NPI 1659361723

  Gastroenterology

  NPD
• Meghan Nicole Bynum, NP

  • Acute Care Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1699407080
  NPD
• Lindsay Marsh Warren, MD

  • Anesthesiology Physician
  • Arlington, VA
  • NPI 1588771521
  NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1770565731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12070 OLD LINE CTR",
            "address_2": "STE 200",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022503",
            "telephone_number": "301-645-8035",
            "fax_number": "301-645-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 305",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-292-2300",
            "fax_number": "301-292-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL ASSOCIATES OF MARYLAND PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LEGINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-645-8035"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035197200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155700900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Majustice Gaino
• James B. Garner IV, D.D.S.
• Paul Andre Garrett, PA-C
• Philip A. Gaspar, D.P.M.
• Monique Gasquet
• Gastrointestinal Specialists LLC
• Nebiat K Gebremariam
• Jocelyn Elizabeth George, DMD
• Dunia Ghazala, DPM
• Giant of Maryland LLC

• Gastroenterology Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Gastroenterology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.