DRS. Dimarzio,Gordon,Jackson,Kinzer,Miller&Verkouw, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DRS. DIMARZIO,GORDON,JACKSON,KINZER,MILLER&VERKOUW, PA

Doing business as

Greater Annapolis Medical Group

Practice address

2003 Medical Pkwy
Suite 100
Annapolis, MD 21401-7992

Phone

(410) 573-1110

Fax

(410) 266-0714

NPI assigned

Apr 23, 2007

Last updated

May 27, 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

Ms. Debbie A Inzer

Title

Billing Manager

Phone

(410) 573-1110

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Greater Annapolis Medical Group Doing business as

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1962620062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-573-1110",
            "fax_number": "410-266-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017992",
            "telephone_number": "410-573-1110",
            "fax_number": "410-266-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. DIMARZIO,GORDON,JACKSON,KINZER,MILLER&VERKOUW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "INZER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-573-1110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "652102900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "KS82GR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4421835",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS POS",
            "identifier": "KS82GR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "S103",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "SRRGA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Annapolis Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.