WEST PALM BEACH FL ENDOSCOPY ASC LLC (NPI# 1609841261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609841261 |
| Entity Type | Organization |
| Organization Name | WEST PALM BEACH FL ENDOSCOPY ASC LLC |
| Other Organization Name | CENTER FOR GASTROINTESTINAL ENDOSCOPY |
| Practice Address |
1117 N Olive Ave Suite 201 West Palm Beach FL 33401-3520 |
| Practice Telephone | 5615140353 |
| Practice Fax Number | 5615140236 |
| Mailing Telephone | 5615140353 |
| Mailing Fax Number | 5615140236 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT OF LLC) |
| 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 |
1119 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00289060 | 01 |
| FL | 076072200 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Gastrointestinal Endoscopy | Doing Business As Name - Organization |
| Street Address |
1117 N OLIVE AVE SUITE 201 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112149 | Medfund LLC | Clinic/Center | 1117 N Olive Ave, Ste 101, West Palm Beach, FL 33401-3520 | 2005-05-23 |
| 1770032153 | Redirenu Surgical Group, LLC | Clinic/Center | 1117 N Olive Ave, Unit 201, West Palm Beach, FL 33401-3520 | 2016-09-27 |
| 1174077630 | Kristen Schwencke | Nurse Practitioner | 1117 N Olive Ave, Ste. 203, West Palm Beach, FL 33401-3520 | 2016-08-12 |
| 1497177133 | Mark Sisko | Dentist | 1117 N Olive Ave, Suite 102, West Palm Beach, FL 33401-3520 | 2014-01-15 |
| 1174762843 | Gi Healthcare | Anesthesiology | 1117 N Olive Ave, Suite 201, West Palm Beach, FL 33401-3520 | 2009-02-19 |
| 1033357926 | A1 Imaging of West Palm Beach LLC | Clinic/Center | 1117 N Olive Ave, Suite 101, West Palm Beach, FL 33401-3520 | 2009-01-30 |
| 1336397066 | Digestive Center of The Palm Beaches | Internal Medicine | 1117 N Olive Ave, Suite 203, West Palm Beach, FL 33401-3520 | 2008-09-06 |
| 1720247760 | A1 Imaging of West Palm Beach LLC | Clinic/Center | 1117 N Olive Ave, Suite 101, West Palm Beach, FL 33401-3520 | 2008-06-05 |
| 1396914800 | Elliot Ellis | Internal Medicine | 1117 N Olive Ave, Suite 203, West Palm Beach, FL 33401-3520 | 2008-02-28 |
| 1467641860 | Mark Sisko Dds Pa | Dentist | 1117 N Olive Ave, Suite 102, West Palm Beach, FL 33401 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048225 | Baptist Surgery and Endoscopy Centers, LLC | Clinic/Center | 1117 N Olive Ave Ste 201, West Palm Beach, FL 33401-3520 | 2019-02-08 |
| 1992740674 | 2047 Palm Beach Lakes Partners LLC | Clinic/Center | 2047 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6500 | 2006-06-18 |
| 1245201425 | Andre J Golino Md and Associates Pa | Clinic/Center | 130 Butler St, West Palm Beach, FL 33407-6106 | 2006-01-27 |
| 1841298437 | West Palm Outpatient Surgery and Laser Center Ltd | Clinic/Center | 200 Northpoint Pkwy, West Palm Beach, FL 33407-1967 | 2005-07-08 |
| 1295739217 | Waterside Ambulatory Surgical Center LLC | Clinic/Center | 2001 N Flagler Dr, West Palm Beach, FL 33407-6109 | 2005-06-08 |
| 1790241073 | Hss Palm Beach Ambulatory Surgery Center, LLC | Clinic/Center | 300 Palm Beach Lakes Blvd, West Palm Beach, FL 33401-2711 | 2019-02-12 |
| 1770032153 | Redirenu Surgical Group, LLC | Clinic/Center | 1117 N Olive Ave, Unit 201, West Palm Beach, FL 33401-3520 | 2016-09-27 |
| 1831561844 | Baptist Surgery and Endoscopy Centers LLC | Clinic/Center | 1117 N Olive Ave Ste 201, West Palm Beach, FL 33401-3520 | 2015-10-29 |
| 1407227358 | Baptist Surgery and Endoscopy Centers LLC | Clinic/Center | 200 Northpoint Pkwy, West Palm Beach, FL 33407-1967 | 2015-10-16 |
| 1033434485 | Central Palm Beach Surgery Center, L.t.d. | Clinic/Center | 2047 Palm Beach Lakes Blvd, West Palm Beach, FL 33409-6522 | 2010-03-29 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33401 |
Please comment or provide details below to improve the information on WEST PALM BEACH FL ENDOSCOPY ASC 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.