MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC (NPI# 1083855092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083855092 |
| Entity Type | Organization |
| Organization Name | MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, LLC |
| Practice Address |
621 Ridgely Ave Suite 105 Annapolis MD 21401-1081 |
| Practice Telephone | 4102243636 |
| Practice Fax Number | 4102246971 |
| Mailing Telephone | 4102243636 |
| Mailing Fax Number | 4102246971 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | DR. MICHAEL S. EPSTEIN (PRESIDENT) |
| Authorized Official Telephone | 4102661588 |
| 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 |
Ambulatory Health Care Facilities |
| Street Address |
621 RIDGELY AVE SUITE 105 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-1081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423440 | James A Welker | Internal Medicine | 621 Ridgely Ave, Ste 403, Annapolis, MD 21401-1091 | 2006-03-30 |
| 1659741916 | Pamela Durning Md LLC | Anesthesiology | 621 Ridgely Ave, Suite 204, Annapolis, MD 21401-1081 | 2015-09-30 |
| 1780062653 | Claire S Duggal M D Pa | Specialist | 621 Ridgely Ave, Suite 401, Annapolis, MD 21401-1081 | 2015-05-12 |
| 1962790071 | Maryland Anesthesia Providers, P.a. | Anesthesiology | 621 Ridgely Ave, Suite 101, Annapolis, MD 21401-1081 | 2011-07-11 |
| 1740573864 | Nicole Eden Melograna | Surgery | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401 | 2011-05-23 |
| 1881911709 | Lisa Ann Medeiros | Nurse Practitioner | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401-1081 | 2010-05-02 |
| 1750542403 | Vincent F. Sayan, M.d., LLC | Specialist | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401-1081 | 2008-06-24 |
| 1316115595 | Barry J Cukor | Internal Medicine | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401-1081 | 2008-02-11 |
| 1770799447 | Kevin Randall Wolov | Internal Medicine | 621 Ridgely Ave, Suite 201, Annapolis, MD 21401-1081 | 2007-05-16 |
| 1891910410 | E.l. Chambers P.a. | Dentist | 621 Ridgely Ave, Suite 206, Annapolis, MD 21401-1081 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200900 | Maryland Center for Digestive Health | Clinic/Center | 171 Defense Hwy, Annapolis, MD 21401-7004 | 2005-10-24 |
| 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 |
| 1013372986 | Gi Wellness Center of Frederick, LLC | Clinic/Center | 165 Thomas Johnson Dr, Suite B&c, Frederick, MD 21702-4742 | 2015-12-21 |
| 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 |
| 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.