Organization Active NPI

Gi Associates of Maryland

  • Gastroenterology Physician
  • La Plata, MD
National Provider Identifier
1982049193
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI ASSOCIATES OF MARYLAND
Practice address
101 Centennial St
Suite B
La Plata, MD 20646-5975
Phone
(301) 934-4521
Fax
(301) 934-4523
NPI assigned
May 1, 2013
Last updated
Feb 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

101 Centennial St
Suite B
La Plata, MD 20646-5975

Mailing address

3510 Old Washington Rd Ste 201
Waldorf, MD 20602-3235
Phone (301) 645-8035

National Provider Directory

National Provider Directory

Locations

101 Centennial St
Ste B
La Plata, MD 20646
Phone (301) 870-3171

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1982049193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 OLD WASHINGTON RD STE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023235",
            "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": "101 CENTENNIAL ST",
            "address_2": "SUITE B",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465975",
            "telephone_number": "301-934-4521",
            "fax_number": "301-934-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI ASSOCIATES OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2018-02-07",
        "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": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.