York County Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF-0113 Issued in SC

Legal business name

YORK COUNTY ENDOSCOPY CENTER LLC

Practice address

164 Glenwood Drive
Rock Hill, SC 29732-2865

Phone

(803) 325-9010

Fax

(803) 325-9015

NPI assigned

Mar 26, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Bott, MDNPI 1255392072

Title

Medical Director

Phone

(803) 325-9010

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen J Bott, MD

  • Gastroenterology Physician
  • Rock Hill, SC
  • NPI 1255392072
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003058744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 GLENWOOD DRIVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322865",
            "telephone_number": "803-325-9010",
            "fax_number": "803-325-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GLENWOOD DRIVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322865",
            "telephone_number": "803-325-9010",
            "fax_number": "803-325-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK COUNTY ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOTT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-325-9010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF-0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DHEC",
            "identifier": "ASF0113",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q351120001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "42C0001 080",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CLIA WAIVER",
            "identifier": "42D1098380",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC DHEC",
            "identifier": "75-12730",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yelverton'S Enrichment Services, Inc.
• York County Adult Day Care Services, Inc.
• York County Anesthesia Associates LLC
• York County Anesthesia PC
• York County Council on Aging, Inc.
• York County Outpatient Endoscopy Center LLC
• York Emergency Physicians
• York Pathology Associates LLC
• York Pathology Associates PA
• York Pediatrics

• All providers in Rock Hill, SC
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.