DIGESTIVE ENDOSCOPY CENTER LLC (NPI# 1497727119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497727119 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE ENDOSCOPY CENTER LLC |
| Other Organization Name | DIGESTIVE ENDOSCOPY CENTER |
| Practice Address |
5697 Shull Rd Ste 100 Huber Heights OH 45424-1203 |
| Mailing Address |
1a Burton Hills Blvd Nashville TN 37215-6187 |
| Practice Telephone | 9375347330 |
| Practice Fax Number | 9372972208 |
| Mailing Telephone | 6152403720 |
| Mailing Fax Number | 6152341720 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-09-18 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | 1211AS | 01 |
| OH | 2017856 | 05 |
| Other Name | Type Code |
|---|---|
| Digestive Endoscopy Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5697 Shull Rd Ste 100, Huber Heights, OH 454241203 | 9375347330 | 9372972208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144416587 | Digestive Endoscopy Center LLC | Clinic/Center | 77 Eleanor Dr, Springboro, OH 45066-1311 | 2007-09-19 |
| 1003888710 | Digestive Endoscopy Center LLC | Internal Medicine | 4340 Clyo Rd Ste 100, Dayton, OH 45459-7000 | 2006-02-06 |
| 1194790808 | Digestive Endoscopy Center LLC | Clinic/Center | 1530 Needmore Rd, Suite 100, Dayton, OH 45414-3969 | 2006-02-17 |
| Street Address |
5697 SHULL RD STE 100 |
| City | HUBER HEIGHTS |
| State | OH |
| Zip Code | 45424-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402409 | Julie Ann Robinson | Case Manager/Care Coordinator | 7502 Mount Whitney, Huber Heights, OH 45424 | 2018-10-04 |
| 1275061103 | Thalia Duncan-alexander | Rehabilitation Counselor | 5414 Quisenberry Dr., Dayton, OH 45424 | 2017-05-23 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1942736111 | Jessica Winkler | Registered Nurse | 1771 Old Palmer Road Nw, Washington Court House, OH 45424 | 2017-05-10 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1124471545 | Jeffrey Penny | Nurse Practitioner | 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 | 2016-07-20 |
| 1619344330 | Tamika Nicole Wood | Home Health Aide | 5602 Troy Villa Blvd, Huber Heights, OH 45424 | 2015-08-28 |
| 1730505983 | Stephanie D. Bihn | Speech-Language Pathologist | 5954 Longford Road, Huber Heights, OH 45424 | 2014-03-12 |
| 1003248170 | Federated Medical Supplies, LLP | Durable Medical Equipment & Medical Supplies | 5053 Pepper Dr., Dayton, OH 45424 | 2013-07-31 |
| 1710200431 | William D Folk | Pharmacist | 5045 Heather Way, Dayton, OH 45424 | 2010-03-09 |
| Find all providers in zip 45424 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492170 | Mercy Health Boardman Surgery | Clinic/Center | 4147 Westford Pl, Canfield, OH 44406-8086 | 2020-09-21 |
| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1952912552 | The Surgery Center of North Central Ohio LLC | Clinic/Center | 1 Emerald Pkwy, Norwalk, OH 44857-2671 | 2020-08-17 |
| 1295344026 | West Chester Surgical Suites, LLC | Clinic/Center | 8742-8744 Union Centre Blvd, West Chester, OH 45069-4876 | 2020-07-28 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 1902431646 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 430 Altair Pkwy Ste 120, Westerville, OH 43082-7647 | 2020-03-03 |
| 1568094399 | The Surgery Center of Southwest Ohio, LLC | Clinic/Center | 2210 Arbor Blvd Ste 100, Moraine, OH 45439-1506 | 2020-02-10 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1801457478 | Dialysis Access Center, LLC | Clinic/Center | 8423 Market St Ste 210, Boardman, OH 44512-6778 | 2019-06-25 |
| 1750948873 | Erie Shores Surgery Center LLC | Clinic/Center | 2800 Hayes Ave Bldg E, Sandusky, OH 44870-7255 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
| City | HUBER HEIGHTS |
| Zip Code | 45424 |
Please comment or provide details below to improve the information on DIGESTIVE ENDOSCOPY CENTER LLC.
| 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.