GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A. (NPI# 1427012053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427012053 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A. |
| Practice Address |
85 Thomas Johnson Ct Suite B Frederick MD 21702-4331 |
| Practice Telephone | 3016639440 |
| Practice Fax Number | 3016634602 |
| Mailing Telephone | 3016639440 |
| Mailing Fax Number | 3016634602 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL RIFKIN (PHYSICIAN-OWNER) |
| Authorized Official Telephone | 3016639440 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BLUE CROSS/SHIE | KG87 | 01 |
| Street Address |
85 THOMAS JOHNSON CT SUITE B |
| 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 |
| 1407829732 | Court Endoscopy Center of Frederick, Inc. | Clinic/Center | 85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331 | 2006-02-08 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225182751 | Moustafa Said Ahmed | Internal Medicine | 804 Toll House Ave, Frederick, MD 21701-4519 | 2007-01-22 |
| 1821173436 | Rohini Vij Bhatia | Internal Medicine | 310 West 9th Street, Frederick, MD 21701 | 2006-10-25 |
| 1962508887 | Frederick Gastroenterology Associates Pa | Internal Medicine | 310 West Ninth St, Frederick, MD 21701-4546 | 2006-09-16 |
| 1649209248 | William Olney Miller | Internal Medicine | 804 Toll House Avenue, Frederick, MD 21701 | 2006-07-03 |
| 1932198116 | Michael Howard Rifkin | Internal Medicine | 6914 Greenvale Ct, Frederick, MD 21702-2925 | 2005-10-19 |
| 1588653786 | Leonard E Kane | Internal Medicine | 85 Thomas Johnson Ct, Suite B, Frederick, MD 21702-4331 | 2005-10-19 |
| 1093718504 | Sean Edward Hunt | Internal Medicine | 310 W Ninth St, Frederick, MD 21701-4546 | 2005-05-30 |
| 1538568365 | Nasim Adimi | Internal Medicine | 310 W Ninth St, Frederick, MD 21701-4546 | 2014-08-18 |
| 1669748141 | Natasha Kamal | Internal Medicine | 310 W Ninth St, Frederick, MD 21701-4546 | 2012-03-28 |
| 1669620746 | Gordon Daniel Liss | Internal Medicine | 310 W Ninth St, Frederick, MD 21701-4546 | 2008-09-03 |
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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.