Digestive Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIGESTIVE ENDOSCOPY CENTER LLC

Practice address

4340 Clyo Rd Ste 100
Dayton, OH 45459-7000

Phone

(937) 534-7330

Fax

(937) 297-2208

NPI assigned

Feb 6, 2006

Last updated

May 6, 2022By 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

Mr. Jeffrey E Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Digestive Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Springboro, OH
  • NPI 1144416587

  O20081030000063

  Same enrollment
• Digestive Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
  • NPI 1194790808

  O20081030000063

  Same enrollment
• Digestive Endoscopy Center LLC

  dba Digestive Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Huber Heights, OH
  • NPI 1497727119

  O20081030000063

  Same enrollment

Listed as

Digestive Endoscopy Center LLCCCN 36C0001084

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

Digestive Endoscopy Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Digestive Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Springboro, OH
  • NPI 1144416587
  NPD tax ID
• Digestive Endoscopy Center LLC

  dba Digestive Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Huber Heights, OH
  • NPI 1497727119
  NPD tax ID

Networks

• OH PPO

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1003888710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3741",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 CLYO RD STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597000",
            "telephone_number": "937-534-7330",
            "fax_number": "937-297-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "0386AS",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Dietz, DO
• Jennifer Dietz, O.T.
• Wolfgang F Dietz, MD
• Ashlyn Clay Difrederico, NP
• Gerard Digdigan, DPT
• Digestive Endoscopy Center LLC
• Digestive Specialists Inc
• Digestive Specialists Inc
• Digestive Specialists Inc
• Digestive Specialists Inc

• Ambulatory Surgical Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.