Urbana Gi Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

URBANA GI ENDOSCOPY CENTER, LLC

Practice address

3280 Urbana Pike
Suite 104
Ijamsville, MD 21754

Phone

(410) 218-7767

Fax

(410) 363-4318

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Gloger, M.D.

Title

Medical Director

Phone

(240) 453-0963

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Urbana Gi Endoscopy Center LLCCCN 21C0001460

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Birns, Gloger and Witten, MD PC

  • Specialist
  • Rockville, MD
  • NPI 1730177692

  Member Of

  NPD member

Practitioners 1

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

• Mark Theodore Birns, M.D.

  • Gastroenterology Physician
  • Rockville, MD
  • NPI 1982692828
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1821115700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 104",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "21754",
            "telephone_number": "410-218-7767",
            "fax_number": "410-363-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 URBANA PIKE",
            "address_2": "SUITE 104",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "21754",
            "telephone_number": "410-218-7767",
            "fax_number": "410-363-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANA GI ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "GLOGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "240-453-0963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endoscopy Clinic/Center in Ijamsville, MD
• Providers in Ijamsville, 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 25, 2008; 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.