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GASTROENTEROLOGY ASSOCIATES PEAR M. ENAM M.D. PA NPI 1104934942


NPI Information

NPI: 1104934942
Provider Name: GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 21D2051482

Address:
11110 MEDICAL CAMPUS RD
SUITE 250
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 733-4404
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GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA is a specialist in Hagerstown, MD. The provider is 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. GASTROENTEROLOGY ASSOCIATES, PEAR M. ENAM, M.D., PA NPI is 1104934942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11110 MEDICAL CAMPUS RD
SUITE 250
HAGERSTOWN, MD
ZIP 21742-700
Phone: (301) 733-4404
Fax: (301) 733-3984

The provider's authorized official is Stacey Blizzard .
The authorized official title is Office Manager and has the following contact phone number (301) 733-4404.

The CLIA number assigned to this NPI record is 21D2051482 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12003711OTHERAETNA - HMO - GOUP
24400511OTHERAETNA - PPO - ENAM
31538148283OTHERINDIVIDUAL NPI - CHOUDARI
4526933-02OTHERCAREFIRST - ENAM
51780687616OTHERNPI INDIVIDUAL - ENAM
6265001100MEDICAIDMARYLAND
75476652OTHERAETNA - PPO - HANIF
85531514OTHERAETNA - PPO - GROUP
92010644OTHERAETNA - HANIF
101285637116OTHERNPI INDIVIDUAL - HANIF
11515001900MEDICAIDMARYLAND
12606031500MEDICAIDMARYLAND
132123375OTHERALLIANCE - ENAM
142123380OTHERALLIANCE - HANIF
15614460-02OTHERCAREFIRST - HANIF
16533100OTHERAETNA - ENAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.