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East Coast Gastroenterology LLC

Internal Medicine, Gastroenterology in Largo, MD. Organization (NPI-2).

NPI number1992998975
StatusActive
Last updated in NPPESDec 5, 2008

Details

NPI
1992998975
Entity type
Organization (NPI-2)
Legal business name
East Coast Gastroenterology LLC
Organization subpart
No
Enumeration date
Aug 22, 2007
Last updated
Dec 5, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes
207ZC0006X Pathology, Clinical Pathology––

Practice location

1450 Mercantile Ln
Suite 217
Largo, MD 20774-5376

Phone 301-583-7770 · Fax 301-583-9414

Mailing address

Po Box 62249
Baltimore, MD 21264-2249

Phone 301-583-7770 · Fax 301-583-9414

Authorized official

Michael Robert Nichols
Credentialing Representative
4102586333

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gastroenterology Physician providers in Largo, MD

All 7 Gastroenterology Physician providers in Largo · All 1,033 providers in Largo

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