MARYLAND DIGESTIVE DISEASE CENTER (NPI# 1194788513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194788513 |
| Entity Type | Organization |
| Organization Name | MARYLAND DIGESTIVE DISEASE CENTER |
| Practice Address |
4801 Dorsey Hall Dr Suite 120 Ellicott City MD 21042-7766 |
| Mailing Address |
7350 Van Dusen Rd Suite 250 Laurel MD 20707-5263 |
| Practice Telephone | 4107309363 |
| Practice Fax Number | 4107302084 |
| Mailing Telephone | 3014985500 |
| Mailing Fax Number | 3014987346 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MS. GEORGIA L GALIE (BUSINESS MANAGER) |
| Authorized Official Telephone | 3014985500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 213681300 | 05 | |
| MD | 213681301 | 05 | |
| DC | CAREFIRST BCBS DC | A111 | 01 |
| MD | CAREFIRST BCBS MD | 0920MA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912960337 | Maryland Digestive Disease Center | Specialist | 7610 Carroll Ave, Suite 250, Takoma Park, MD 20912-6384 | 2006-04-07 |
| 1396740379 | Maryland Digestive Disease Center | Specialist | 7350 Van Dusen Rd, Ste 210, Laurel, MD 20707-5268 | 2005-06-16 |
| Street Address |
4801 DORSEY HALL DR SUITE 120 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485353 | James J Zalucki | Colon & Rectal Surgery | 4801 Dorsey Hall Dr, Ste 216, Ellicott City, MD 21042-7749 | 2005-05-27 |
| 1710422688 | Jamie Garonzik | Physician Assistant | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-12-30 |
| 1245683093 | Sara Cooper | Nutritionist | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-07-18 |
| 1174997860 | Crossroads Health Services LLC | Pharmacy | 4801 Dorsey Hall Dr, Suite 120, Ellicott City, MD 21042-7766 | 2015-11-18 |
| 1124433628 | Lifebridge Medical Associates, LLC | Internal Medicine | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2014-06-24 |
| 1285067017 | Lifebridge Community Physicians, Inc | Internal Medicine | 4801 Dorsey Hall Dr, Suite 220, Ellicott City, MD 21042-7766 | 2013-08-15 |
| 1447513684 | Crossroads Primary Care and Integrative Medicine | Clinic/Center | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2012-06-22 |
| 1386943314 | Jeff Brett Millison | Acupuncturist | 4801 Dorsey Hall Dr, Suite 212, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1225337264 | David Bart Arconti | Physician Assistant | 4801 Dorsey Hall Dr, Suite 226, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1891005484 | Joshua Alan Anderson | Physician Assistant | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2010-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598215147 | Grace Cody | Specialist | 8567 Harvest View Ct, Ellicott City, MD 21043-6560 | 2016-10-06 |
| 1134516586 | Shape Shifters Wellness Studio, LLC | Specialist | 169 Frederick Rd, Ellicott City, MD 21043-4886 | 2015-04-23 |
| 1982049714 | Laurie Alcock | Specialist | 5305 Sweet Birch Ct, Ellicott City, MD 21043-6304 | 2013-05-07 |
| 1215257159 | Jeannette Kay Nussbaum | Specialist | 8759 Stonehouse Drive, Ellicott City, MD 21043-1912 | 2010-06-02 |
| 1043427560 | John J Casey | Specialist | 9905 Whitworth Way, Ellicott City, MD 21042-5625 | 2007-05-16 |
| 1437374733 | Heather Amos | Specialist | 2201 Mount Hebron Ct, Ellicott City, MD 21042-1809 | 2007-04-13 |
| 1255463741 | Kara Mccourt-skeberdis | Specialist | 5016 Dorsey Hall Dr, Ste. 102, Ellicott City, MD 21042-7823 | 2007-03-10 |
| 1851457998 | Marcia Brandt Frezza | Specialist | 8978 Furrow Ave, Ellicott City, MD 21042-1857 | 2006-12-30 |
| 1891744595 | Arthur E Kurlanzik | Specialist | 3570 Saint Johns Ln, Ellicott City, MD 21042-4020 | 2006-05-09 |
| 1528039161 | Jeannine Erika George | Specialist | 3450 Ellicott Center Dr Ste 105, Ellicott City, MD 21043-4666 | 2006-01-31 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on MARYLAND DIGESTIVE DISEASE CENTER.
| 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.