G.I.ENDOSCOPY CENTER (NPI# 1861596967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861596967 |
Entity Type | Organization |
Organization Name | G.I.ENDOSCOPY CENTER |
Practice Address |
6555 Professional Pl Suite B Riverdale GA 30274-4903 |
Practice Telephone | 7709965959 |
Mailing Telephone | 7709965959 |
Enumeration Date | 2006-09-11 |
Last Update Date | 2013-03-05 |
Authorized Official Name | JAY R PRAKASH (PRESIDENT) |
Authorized Official Telephone | 7709965959 |
Authorized Official Credential | M.D. |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | GIG HARBOR ENDOSCOPY CENTER, LLC | 2727 Hollycroft St #480, Gig Harbor, WA 98335 |
Street Address |
6555 PROFESSIONAL PL SUITE B |
City | RIVERDALE |
State | GA |
Zip Code | 30274-4903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467489120 | Gregory Gibson | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-06-27 |
1053411207 | Isaac V Joseph | Internal Medicine | 6555 Professional Pl, Suite D, Riverdale, GA 30274-4903 | 2006-09-25 |
1942303276 | Michael Cheng | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-09-05 |
1699790741 | Jennifer W Stemberger | Nurse Practitioner | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-07-12 |
1003846635 | Jay R Prakash | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
Find all providers in zip 30274 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346508520 | First Gi Endoscopy and Surgery Center LLC | Clinic/Center | 44 State Rt 23 Ste 1, Riverdale, NJ 07457-1603 | 2012-04-25 |
1720270879 | Akstein Eye Center, Asc | Clinic/Center | 86 Upper Riverdale Rd Sw, Suite 100, Riverdale, GA 30274-2622 | 2007-08-13 |
1255607628 | Minimally Invasive Neurospine and Pain Institute, PC | Clinic/Center | 33 Upper Riverdale Rd Sw, #25, Riverdale, GA 30274-2626 | 2012-03-29 |
1861632317 | Riverdale Surgery Center LLC | Clinic/Center | 44 State Rt 23, Ste 15a, Riverdale, NJ 07457-1603 | 2009-02-24 |
1629016076 | University Center for Ambulatory Surgery, LLC | Clinic/Center | 6502 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1340 | 2006-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
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.