Mruthyunjaya Gonchigar, MD | |
196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 | |
(301) 668-9988 | |
(301) 668-9977 |
Full Name | Mruthyunjaya Gonchigar |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 41 Years |
Location | 196 Thomas Johnson Dr, Frederick, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043275449 | NPI | - | NPPES |
P00875961 | Other | MD | MEDICARE RAILROAD |
697L395D | Other | MD | PAIN MANAGEMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | D0050726 (Maryland) | Primary |
207L00000X | Anesthesiology | D0050726 (Maryland) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Newbridge Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891931556 PECOS PAC ID: 6103971759 Enrollment ID: O20090902000622 |
Entity Name | Newbridge Spine And Pain Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790921450 PECOS PAC ID: 7113073024 Enrollment ID: O20090917000613 |
Entity Name | Newbridge Surgery Center At Frederick |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1508199720 PECOS PAC ID: 6204979172 Enrollment ID: O20100202000087 |
Entity Name | Newbridge Surgery Center At Prince Frederick, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1285944504 PECOS PAC ID: 0244413607 Enrollment ID: O20110322000585 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Mruthyunjaya Gonchigar, MD 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 Ph: (301) 668-9988 | Mruthyunjaya Gonchigar, MD 196 Thomas Johnson Dr, Suite 215, Frederick, MD 21702-4397 Ph: (301) 668-9988 |