DIGESTIVE ENDOSCOPY CENTER LLC (NPI# 1003888710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003888710 |
Entity Type | Organization |
Organization Name | DIGESTIVE ENDOSCOPY CENTER LLC |
Practice Address |
4340 Clyo Rd Ste 100 Dayton OH 45459-7000 |
Mailing Address |
1a Burton Hills Blvd Nashville TN 37215-6187 |
Practice Telephone | 9375347330 |
Practice Fax Number | 9372972208 |
Mailing Telephone | 6152403741 |
Mailing Fax Number | 6152341720 |
Enumeration Date | 2006-02-06 |
Last Update Date | 2019-10-11 |
Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0386AS | OH | Allopathic & Osteopathic Physicians |
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2017856 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144416587 | Digestive Endoscopy Center LLC | Clinic/Center | 77 Eleanor Dr, Springboro, OH 45066-1311 | 2007-09-19 |
1497727119 | Digestive Endoscopy Center LLC | Clinic/Center | 5697 Shull Rd Ste 100, Huber Heights, OH 45424-1203 | 2006-02-06 |
1194790808 | Digestive Endoscopy Center LLC | Clinic/Center | 1530 Needmore Rd, Suite 100, Dayton, OH 45414-3969 | 2006-02-17 |
Street Address |
4340 CLYO RD STE 100 |
City | DAYTON |
State | OH |
Zip Code | 45459-7000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
Find all providers in zip 45459 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235285628 | Dayton Eye Surgery Center L.L.C. | Clinic/Center | 81 Sylvania Dr, Dayton, OH 45440-3237 | 2007-01-26 |
1104996768 | Greater Dayton Surgery Center LLC | Clinic/Center | 1625 Delco Park Dr., Dayton, OH 45420-1391 | 2006-11-09 |
1760849889 | Surgery Center At Corporate Way LLC | Clinic/Center | 7076 Corporate Way, Suite 202, Dayton, OH 45459-4246 | 2016-01-20 |
1407247208 | Colonoscopy and Endoscopy Center LLC | Clinic/Center | 7211 N Main St, Suite 3, Dayton, OH 45415-2566 | 2015-02-15 |
1073828315 | Governor's Place Ambulatory Surgery Center LLC | Clinic/Center | 3025 Governors Place Blvd, Dayton, OH 45409-1330 | 2010-08-11 |
1295977254 | Wright State Physicians Inc | Clinic/Center | 2200 Philadelphia Dr, Suite 651, Dayton, OH 45406-1840 | 2009-04-06 |
1649447582 | Wright State Physicians Inc | Clinic/Center | 2200 Philadelphia Dr, Suite 651, Dayton, OH 45406-1840 | 2008-05-09 |
1366651242 | Miami Valley Ambulatory Surgery Center Ltd | Clinic/Center | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2007-05-21 |
1326189499 | Kunesh Eye Surgery Center | Clinic/Center | 2601 Far Hills Ave, Dayton, OH 45419-1634 | 2007-02-09 |
1174571970 | Dcr Surgery Center, LLC | Clinic/Center | 245 W Elmwood Dr, Dayton, OH 45459-4259 | 2006-05-04 |
Find all providers in DAYTON |
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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.