DIGESTIVE ENDOSCOPY CENTER LLC


Address: 4340 Clyo Rd Ste 100, Dayton, OH 45459-7000
Phone: 9375347330

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 2017856 05

Other Provider IDs and Locations

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

Office Location

Street Address 4340 CLYO RD STE 100
City DAYTON
State OH
Zip Code 45459-7000

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City DAYTON
Zip Code 45459

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Dataset Information

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.

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