ANNE ARUNDEL DIGESTIVE CENTER (NPI# 1740387257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740387257 |
| Entity Type | Organization |
| Organization Name | ANNE ARUNDEL DIGESTIVE CENTER |
| Other Organization Name | GLEN BURNIE ENDOSCOPY, LLC |
| Practice Address |
8028 Ritchie Highway Suite 142 Pasadena MD 21122 |
| Practice Telephone | 4107661012 |
| Practice Fax Number | 4107662415 |
| Mailing Telephone | 4107661012 |
| Mailing Fax Number | 4107662415 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | DR. ALIF A MANEJWALA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4107661012 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A1208 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1012002-00 | 05 |
| Other Name | Type Code |
|---|---|
| Glen Burnie Endoscopy, LLC | Other Name - Individual/Organization |
| Street Address |
8028 RITCHIE HIGHWAY SUITE 142 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417846 | Urmil Dhanda | General Practice | 8028 Ritchie Highway, Suite 114, Pasadena, MD 21122-1020 | 2006-06-19 |
| 1851459762 | John H Hayes IIi | Pediatrics | 8028 Ritchie Highway, Suite 134, Pasadena, MD 21122-1075 | 2006-12-04 |
| 1124186028 | Karin M Dodge | Internal Medicine | 8028 Ritchie Highway, Suite 134, Pasadena, MD 21122-1075 | 2006-12-04 |
| 1962595504 | George A. Williamson | Obstetrics & Gynecology | 8028 Ritchie Highway, Suite 309, Pasadena, MD 21122 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| Find all providers in PASADENA | ||||
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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.