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GASTROENTEROLOGY SPECIALISTS OF FREDERICK P.A. NPI 1427012053


NPI Information

NPI: 1427012053
Provider Name: GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A.
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 21D0898621

Address:
85 THOMAS JOHNSON CT
SUITE B
FREDERICK, MD
ZIP 21702
Phone: (301) 663-9440
Get Directions

GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A. is a gastroenterology internal medicine in Frederick, MD. The provider is 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. GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A. NPI is 1427012053. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

85 THOMAS JOHNSON CT
SUITE B
FREDERICK, MD
ZIP 21702-331
Phone: (301) 663-9440
Fax: (301) 663-4602

The provider's authorized official is Michael Rifkin .
The authorized official title is Physician-owner and has the following contact phone number (301) 663-9440.

The CLIA number assigned to this NPI record is 21D0898621 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 8/22/2020.


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
1207RG0100XInternal MedicineGastroenterologyYes

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
1KG87OTHERMARYLANDCAREFIRST BLUE CROSS/SHIE

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.