G & M Comprehensive Primary Care Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

G & M COMPREHENSIVE PRIMARY CARE PRACTICE

Practice address

811 Middle River Rd
Baltimore, MD 21220-3766

Phone

(443) 467-5990

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Messanvi Gozo

Title

CRNP

Phone

(443) 467-5990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1982280970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MIDDLE RIVER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MIDDLE RIVER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212203766",
            "telephone_number": "443-467-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M COMPREHENSIVE PRIMARY CARE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "GOZO",
        "authorized_official_first_name": "MESSANVI",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "443-467-5990"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.