Endocenter LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

120 Issued in LA

Legal business name

ENDOCENTER LLC

Practice address

58515 Pearl Acres Rd
Slidell, LA 70461-5423

Phone

(985) 645-9392

NPI assigned

Oct 9, 2008

Last updated

May 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hazel Brauen

Title

Business Manager

Phone

(985) 871-1721

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Endocenter, LLC

  • Endoscopy Clinic/Center
  • Covington, LA
  • NPI 1447324132

  8527953983

  Same PAC ID

Listed as

Endo Center LLCCCN 19C0001088

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Endocenter LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Endocenter, LLC

  • Endoscopy Clinic/Center
  • Covington, LA
  • NPI 1447324132
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony F. Albright, M.D.

  • Gastroenterology Physician
  • Slidell, LA
  • NPI 1053373316
  NPD
• Lemuel Phillips Jenkins, M.D.

  • Gastroenterology Physician
  • Covington, LA
  • NPI 1386855138
  NPD
• Veronica T. Dugan, M.D.

  • Gastroenterology Physician
  • Slidell, LA
  • NPI 1245292515
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1003067844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58515 PEARL ACRES RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615423",
            "telephone_number": "985-645-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58515 PEARL ACRES RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615423",
            "telephone_number": "985-645-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BRAUEN",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "985-871-1721"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "LA",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endoscopy Clinic/Center in Slidell, LA
• Providers in Slidell, LA by specialty
• Endoscopy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.