EASTSIDE ENDOSCOPY CENTER LLC (NPI# 1053846592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053846592 |
| Entity Type | Organization |
| Organization Name | EASTSIDE ENDOSCOPY CENTER LLC |
| Practice Address |
1805 Honey Creek Cmns Se Conyers GA 30013-5828 |
| Practice Telephone | 4045091868 |
| Mailing Telephone | 4045091868 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | DR. KARIM SHAKOOR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7709227000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1805 HONEY CREEK CMNS SE |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-5828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164953493 | Eastside Endoscopy Center, LLC | Clinic/Center | 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 | 2017-03-27 |
| 1588198329 | Premier Anesthesiology Associates | Anesthesiology | 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 | 2017-04-19 |
| 1609309137 | Eastside Endoscopy Center, LLC | Clinic/Center | 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 | 2017-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164953493 | Eastside Endoscopy Center, LLC | Clinic/Center | 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 | 2017-03-27 |
| 1629222815 | Georgia Urology, Pa | Clinic/Center | 1301 Sigman Rd Ne Ste 250b, Conyers, GA 30012-3812 | 2008-11-14 |
| 1609065903 | Laurus Surgical, L.l.c | Clinic/Center | 1388a Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2007-10-23 |
| 1558899682 | East Atlanta Endoscopy Centers, LLC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2017-06-02 |
| 1518009430 | Wellbrook Endoscopy Center, PC | Clinic/Center | 1269 Wellbrook Cir Ne, Conyers, GA 30012-3873 | 2007-02-14 |
| 1750420147 | Interventional Spine and Pain Management Ambulatory Surgical Center | Clinic/Center | 1388 Wellbrook Cir Ne, Suite A, Conyers, GA 30012-3872 | 2007-02-05 |
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|---|---|---|---|---|
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| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
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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.