GI ENDOSCOPY CENTER, INC (NPI# 1639159916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639159916 |
| Entity Type | Organization |
| Organization Name | GI ENDOSCOPY CENTER, INC |
| Other Organization Name | GI ENDOSCOPY CENTER |
| Practice Address |
2560 Nw Medical Park Dr Roseburg OR 97470-5510 |
| Practice Telephone | 5416732046 |
| Practice Fax Number | 5416730454 |
| Mailing Telephone | 5416732046 |
| Mailing Fax Number | 5416730454 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBORAH D DIXON (ASSISTANT ADMINISTRATOR) |
| Authorized Official Telephone | 5419577734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
071432 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 007034 | 05 |
| Other Name | Type Code |
|---|---|
| GI Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
2560 NW MEDICAL PARK DR |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962637058 | Gi Associates, PC | Internal Medicine | 2560 Nw Medical Park Dr, Roseburg, OR 97471-5510 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407330863 | Gso Equipment Corp | Clinic/Center | 879 Providence Dr, Newberg, OR 97132-7563 | 2018-09-21 |
| 1831167253 | Oregon Clinic, PC | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2006-03-10 |
| 1922558055 | Gso Equipment Corp | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045-1582 | 2016-10-13 |
| 1922558063 | Gso Equipment Corp | Clinic/Center | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 | 2016-10-13 |
| 1962952655 | Portland Gastroenterology Equipment | Clinic/Center | 1111 Ne 99th Ave, Suite 302, Portland, OR 97220-9428 | 2016-10-06 |
| 1225588924 | West Hills Gastroenterology Equipment Corp | Clinic/Center | 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772 | 2016-10-06 |
| 1073778346 | The Oregon Clinic PC | Clinic/Center | 1111 Ne 99th Ave, Portland, OR 97220-9428 | 2008-07-25 |
| 1013172840 | The Oregon Clinic PC | Clinic/Center | 9701 Sw Barnes Rd, Suite 310, Portland, OR 97225-6772 | 2008-07-21 |
| 1184884959 | Santiam Gastroenterology PC | Clinic/Center | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2008-06-14 |
| 1477513737 | Oregon Clinic, PC | Clinic/Center | 1508 Division St, Suite 15, Oregon City, OR 97045 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
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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.