COURT ENDOSCOPY CENTER OF FREDERICK, INC. (NPI# 1407829732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407829732 |
| Entity Type | Organization |
| Organization Name | COURT ENDOSCOPY CENTER OF FREDERICK, INC. |
| Practice Address |
85 Thomas Johnson Ct Suite E Frederick MD 21702-4331 |
| Practice Telephone | 3016681600 |
| Practice Fax Number | 3016684008 |
| Mailing Telephone | 3016681600 |
| Mailing Fax Number | 3016684008 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL H. RIFKIN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3016681600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
A1398 | MD | Ambulatory Health Care Facilities |
| Street Address |
85 THOMAS JOHNSON CT SUITE E |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653786 | Leonard E Kane | Internal Medicine | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 | 2005-10-19 |
| 1669866489 | Mid-maryland Anesthesia LLC | Anesthesiology | 85 Thomas Johnson Ct, Suite C, Frederick, MD 21702-4331 | 2015-03-19 |
| 1740436245 | Tyra D. Kane | Internal Medicine | 85 Thomas Johnson Ct, Suite C, Frederick, MD 21702 | 2008-08-15 |
| 1982789269 | Douglas J. Koch, D.d.s.,l.l.c. | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
| 1811072291 | Douglas John Koch | Dentist | 85 Thomas Johnson Ct, Suite A, Frederick, MD 21702-4331 | 2006-10-26 |
| 1639283757 | Frederick Anesthesia, LLC | Anesthesiology | 85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331 | 2006-08-18 |
| 1114934684 | Lori Kay Peters | Registered Nurse | 85 Thomas Johnson Ct, Suite D, Frederick, MD 21702-4331 | 2006-08-01 |
| 1639102924 | Tyra D Kane | Internal Medicine | 85 Thomas Johnson Ct, Suite C, Frederick, MD 21702-4331 | 2006-07-09 |
| 1427012053 | Gastroenterology Specialists of Frederick, P.a. | Internal Medicine | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 | 2006-04-12 |
| 1033189386 | Roberta R Taylor | Physician Assistant | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4359 | 2006-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
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| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013372986 | Gi Wellness Center of Frederick, LLC | Clinic/Center | 165 Thomas Johnson Dr, Suite B&c, Frederick, MD 21702-4742 | 2015-12-21 |
| 1063519866 | Frederick Endoscopy Center LLC | Clinic/Center | 7115 Guilford Dr, Suite 201, Frederick, MD 21704-5199 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212151 | Civista Clinical Services, LLC | Clinic/Center | 5 N La Plata Ct Ste 201, La Plata, MD 20646-5208 | 2019-12-16 |
| 1699219766 | Calvert Digestive Disease Associates, Endoscopy and Surgery Center LLC | Clinic/Center | 985 Prince Frederick Blvd Ste 104, Prince Frederick, MD 20678-3490 | 2016-12-08 |
| 1942462064 | Jonathan Mccone Jr. Md PC | Clinic/Center | 6196 Oxon Hill Rd Ste 640, Oxon Hill, MD 20745 | 2008-06-30 |
| 1386614832 | Carroll County Digestive Disease Center, LLC | Clinic/Center | 216b Washington Heights Med Ctr, Westminster, MD 21157-5633 | 2006-01-26 |
| 1982074001 | Clinical Associates P A | Clinic/Center | 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 | 2015-10-01 |
| 1215287156 | Eastern Shore Endoscopy, LLC | Clinic/Center | 511 Idlewild Ave, Easton, MD 21601-3888 | 2012-09-19 |
| 1083855092 | Maryland Diagnostic and Therapeutic Endo Center, LLC | Clinic/Center | 621 Ridgely Ave, Suite 105, Annapolis, MD 21401-1081 | 2009-03-20 |
| 1013170521 | Greenbelt Endoscopy Center, LLC | Clinic/Center | 9821 Greenbelt Rd, Ste 103, Lanham, MD 20706-6240 | 2008-07-03 |
| 1861689382 | Lifebridge Investments, Inc | Clinic/Center | 515 Fairmount Ave, Ste 100a, Towson, MD 21286-5466 | 2007-09-28 |
| 1821115700 | Urbana Gi Endoscopy Center, LLC | Clinic/Center | 3280 Urbana Pike, Suite 104, Ijamsville, MD 21754 | 2007-03-23 |
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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.