EASTSIDE ENDOSCOPY CENTER, LLC


Address: 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828
Phone: 7709227000

EASTSIDE ENDOSCOPY CENTER, LLC (NPI# 1609309137) 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) 1609309137
Entity Type Organization
Organization Name EASTSIDE ENDOSCOPY CENTER, LLC
Practice Address 1805 Honey Creek Cmns Se
Conyers
GA 30013-5828
Practice Telephone 7709227000
Mailing Telephone 7709227000
Enumeration Date 2017-04-11
Last Update Date 2017-04-11
Authorized Official Name DR. KARIM SHAKOOR (MEDICAL DIRECTOR)
Authorized Official Telephone 4045091868
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0800X Clinic/Center
Specialization: Endoscopy
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164953493 Eastside Endoscopy Center, LLC Clinic/Center 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 2017-03-27

Office Location

Street Address 1805 HONEY CREEK CMNS SE
City CONYERS
State GA
Zip Code 30013-5828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164953493 Eastside Endoscopy Center, LLC Clinic/Center 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 2017-03-27
1053846592 Eastside Endoscopy Center LLC Clinic/Center 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 2017-04-21
1588198329 Premier Anesthesiology Associates Anesthesiology 1805 Honey Creek Cmns Se, Conyers, GA 30013-5828 2017-04-19

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1043735244 Niki Tanyell Davis Licensed Practical Nurse 1403 Windy Hill Court, Conyers, GA 30013 2017-08-08
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1881149268 Jsa Dental Associates Conyers PC Dentist 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 2016-08-16
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Taxonomy Information

Taxonomy Code 261QE0800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Endoscopy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376052928 Newnan Endoscopy Center LLC Clinic/Center 1200 Lower Fayetteville Rd, Newnan, GA 30263 2017-09-27
1275871147 Panola Endoscopy Center LLC Clinic/Center 5403 Hillandale Park Court, Suite A, Lithonia, GA 30058 2013-01-28
1760778765 Gastrointestinal Diagnostic Endoscopy Woodstock, LLC Clinic/Center 118 Mill St, Suite 100, Woodstock, GA 30188-4879 2011-06-28
1558662858 Athens Endoscopy, LLC Clinic/Center 21 Jefferson Pl Ste 2, Athens, GA 30601-1761 2010-11-03
1518127398 Snooze, LLC Clinic/Center 307 Market Ct, Canton, GA 30114-4562 2008-06-14
1184714214 Gainesville Endoscopy Center, LLC Clinic/Center 2324 Limestone Overlook Ste 200, Gainesville, GA 30501-7443 2006-10-12
1023102266 Cobb Endoscopy Center LLC Clinic/Center 3969 South Cobb Dr, Suite 207, Smyrna, GA 30080 2006-10-03
1659384329 Endoscopy Center LLC Clinic/Center 1139 Lexington Ave Ste B, Savannah, GA 31404 2006-08-14
1194761908 Gwinnett Endoscopy Center, PC Clinic/Center 301 Philip Blvd, Suite B, Lawrenceville, GA 30046-8745 2006-06-21
1063458909 Woodstock Endoscopy Center Clinic/Center 900 Towne Lake Pkwy Ste 310, Woodstock, GA 30189-1604 2006-06-21
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Competitor

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City CONYERS
Zip Code 30013

Improve Information

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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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