GASTRO CENTER OF MARYLAND LLC (NPI# 1164609111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164609111 |
| Entity Type | Organization |
| Organization Name | GASTRO CENTER OF MARYLAND LLC |
| Other Organization Name | MIDATLANTIC CENTER FOR DIGESTIVE & LIVER DIS |
| Practice Address |
7120 Minstrel Way Suite 100 Columbia MD 21045-5248 |
| Practice Telephone | 4102906677 |
| Mailing Telephone | 4102906677 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | DR. RUDRA RAI (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 4102906677 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
D0044427 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 282701800 | 05 |
| Other Name | Type Code |
|---|---|
| MidAtlantic Center for Digestive & Liver Dis | Former Legal Business Name - Organization |
| Street Address |
7120 MINSTREL WAY SUITE 100 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346213824 | Rudrajit Masand Rai | Internal Medicine | 7120 Minstrel Way, Suite 100, Columbia, MD 21045-5248 | 2006-02-07 |
| 1871060426 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 7120 Minstrel Way, Suite 106, Columbia, MD 21045 | 2018-10-31 |
| 1538531215 | Columbia Health Care, LLC | Clinic/Center | 7120 Minstrel Way, Suite 105b, Columbia, MD 21045-5248 | 2015-10-21 |
| 1689004277 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste. 106, Columbia, MD 21045-5248 | 2013-11-18 |
| 1346581105 | Md Laser Surgery Center, LLC | Clinic/Center | 7120 Minstrel Way, Suite 103, Columbia, MD 21045-5248 | 2013-03-04 |
| 1992040778 | Elisha Vernice Carter | Physician Assistant | 7120 Minstrel Way, Suite 106, Columbia, MD 21045-5248 | 2012-12-04 |
| 1588921225 | Columbia Outpatient Sedation LLC | Nurse Anesthetist, Certified Registered | 7120 Minstrel Way, Ste 100, Columbia, MD 21045-5248 | 2012-04-19 |
| 1376810846 | Dynamic Ventures Holdings | Pharmacy | 7120 Minstrel Way, Columbia, MD 21045-5248 | 2011-11-28 |
| 1588941967 | Cara Jacobson | Psychologist | 7120 Minstrel Way, Suite 203, Columbia, MD 21045-5248 | 2011-11-13 |
| 1992095392 | Center for Pain Management, LLC | Pain Medicine | 7120 Minstrel Way, Ste 106, Columbia, MD 21045-5248 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1902099336 | Ekta Gupta | Internal Medicine | 10700 Charter Dr Ste 310, Columbia, MD 21044-3730 | 2007-08-20 |
| 1275743221 | Eduardo Castillo Del Castillo | Internal Medicine | 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 | 2007-05-22 |
| 1679583587 | Russell Owen Schub | Internal Medicine | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2114 | 2006-08-09 |
| 1992715361 | Richard Martin Helman | Internal Medicine | 6439 Garners Ferry Rd # V, Gastroenterology 2 East, Columbia, SC 29209-1638 | 2006-08-09 |
| 1265470140 | Gerald Bertiger | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2006-06-03 |
| 1174575294 | Nicolas Llorens | Internal Medicine | 210 Portland St, Suite 100, Columbia, MO 65201-6677 | 2006-05-17 |
| 1376508374 | Amit A Choksi | Internal Medicine | 1222 Trotwood Avenue, Ste 501, Columbia, TN 38401-6422 | 2006-04-20 |
| 1093777310 | Daniel Iseman | Internal Medicine | 1520 Taylor St, Suite 200, Columbia, SC 29201-2901 | 2006-04-03 |
| 1811962517 | Lawrence Fredric Sorkin | Internal Medicine | 10382 Barcan Cir, Columbia, MD 21044-2504 | 2006-02-17 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.