DIGESTIVE DISEASE ASSOCIATES, LLC


Address: 700 Geipe Road Ste 230, Baltimore, MD 21228-4176
Phone: 4102477500

DIGESTIVE DISEASE ASSOCIATES, LLC (NPI# 1407400955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407400955
Entity Type Organization
Organization Name DIGESTIVE DISEASE ASSOCIATES, LLC
Practice Address 700 Geipe Road Ste 230
Baltimore
MD 21228-4176
Mailing Address 700 Geipe Road Ste 201
Baltimore
MD 21228-4176
Practice Telephone 4102477500
Practice Fax Number 4102474227
Mailing Telephone 4107379741
Mailing Fax Number 4107376884
Enumeration Date 2019-08-01
Last Update Date 2019-08-01
Authorized Official Name HOLLY MEYERS (CONTRACT & CREDENTIALING MANAGER)
Authorized Official Telephone 4107379741
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
N 207RT0003X Internal Medicine
Specialization: Transplant Hepatology
Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
10710 Charter Dr Ste 110, Columbia, MD 210443258 4109929797 4107300942

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356480578 Digestive Disease Associates, LLC Internal Medicine 229 Montowese St, Branford, CT 06405-3828 2007-02-05

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations DIGESTIVE DISEASE ASSOCIATES, LLC 229 Montowese Street, Branford, CT 06405

Office Location

Street Address 700 GEIPE ROAD STE 230
City BALTIMORE
State MD
Zip Code 21228-4176

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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790318657 Margaret Geraldine Keane Internal Medicine Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 2020-02-19
1689912677 Donald Edward Wilson Internal Medicine 20 Penn St, Baltimore, MD 21201-1075 2013-01-25
1124374418 Ruhail Kohli Internal Medicine 4940 Eastern Ave Fl 5, Baltimore, MD 21224 2012-07-24
1922364959 Huimin Yu Internal Medicine 600 N Wolfe St Bldg 9, Baltimore, MD 21287-0005 2012-04-04
1881919637 Tsion Abdi Internal Medicine 4940 Eastern Ave Bldg Gastro, Baltimore, MD 21224-2735 2010-04-05
1912132382 Amit Kashyap Internal Medicine 1211 S Conkling St Apt 145, Baltimore, MD 21224 2009-05-28
1063625028 Maaza Sophia Abdi Internal Medicine 5411 Old Frederick Road Suite 11, Baltimore, MD 21042 2007-05-07
1912081019 Mark Philip Diamond Internal Medicine 9105 Franklin Square Drive, Suite 308, Baltimore, MD 21237 2006-10-25
1851307714 George Vranian Internal Medicine 6565 N Charles St #402, Baltimore, MD 21204 2006-07-31
1801810601 Joseph C Lin Internal Medicine 8903 Harford Rd, Baltimore, MD 21234-4111 2006-07-26
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Competitor

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City BALTIMORE
Zip Code 21228

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Dataset Information

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.

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