FAYETTEVILLE GASTROENTEROLOGY ENDOSCOPY CENTER, LLC (NPI# 1962869446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962869446 |
| Entity Type | Organization |
| Organization Name | FAYETTEVILLE GASTROENTEROLOGY ENDOSCOPY CENTER, LLC |
| Practice Address |
2041 Valleygate Dr Fayetteville NC 28304-3745 |
| Practice Telephone | 9103235203 |
| Practice Fax Number | 9103233650 |
| Mailing Telephone | 9103235203 |
| Mailing Fax Number | 9103233650 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | JOHN R JONES (PRESIDENT) |
| Authorized Official Telephone | 9103235203 |
| 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 |
NC | Ambulatory Health Care Facilities |
| Street Address |
2041 VALLEYGATE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080944 | Jill Rys | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2005-11-16 |
| 1720545130 | Jennifer Renee Thomas | Nurse Practitioner | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2019-02-22 |
| 1720324403 | Catherine Ewing Doss | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2012-12-27 |
| 1609013275 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2041 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3745 | 2009-01-19 |
| 1669620720 | Jbv Anesthesiology Associates, Pllc | Contractor | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-09-03 |
| 1982866620 | Christina Beard | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-06-25 |
| 1790963759 | Joseph Bernard Henderson | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-02-01 |
| 1417141623 | Fayetteville Gastroenterology Associates, P.a. | Clinic/Center | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2007-08-30 |
| 1316130867 | Kathryn Vreeland Locklear | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2007-08-18 |
| 1457365751 | Fayetteville Gastroenterology Associates, P.a. | Specialist | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1477178879 | Surgcenter of Fayetteville, LLC | Clinic/Center | 1905 E Mission Blvd Ste 5, Fayetteville, AR 72703-3129 | 2020-06-11 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1396298139 | Resurgens Fayette Surgery Center, LLC | Clinic/Center | 1336 Highway 54 W Bldg 400, Fayetteville, GA 30214-4535 | 2016-07-28 |
| 1447630876 | Ortho Atlanta Surgery Center of Fayetteville | Clinic/Center | 1265 Highway 54 W Ste 103, Fayetteville, GA 30214-4537 | 2015-06-01 |
| 1801196050 | Agcny East LLC | Clinic/Center | Northeast Medical Building Condominium, Suite 308, Fayetteville, NY 13066-6638 | 2010-10-21 |
| 1265679674 | Georgia Urology Fayette Asc | Clinic/Center | 140 Carnegie Pl, Suite 108, Fayetteville, GA 30214-7913 | 2009-01-07 |
| 1093907339 | Taylor Surgery Center, LLC | Clinic/Center | 3733 N Business Dr Ste 101, Fayetteville, AR 72703-5286 | 2007-08-10 |
| 1386737021 | Arkansas Outpatient Eye Surgery LLC | Clinic/Center | 3689 N Steele Blvd, Fayetteville, AR 72703-5347 | 2006-10-02 |
| 1033154364 | Paula Pons Physician LLC | Clinic/Center | 4206 Medical Center Dr Ste 203, Fayetteville, NY 13066 | 2006-06-19 |
| 1285622845 | Physicians' Surgery Center of Fayetteville, LLC | Clinic/Center | 3733 N Business Dr, Suite #101, Fayetteville, AR 72703-5203 | 2005-10-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on FAYETTEVILLE GASTROENTEROLOGY 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.