Grand River Endoscopy Center, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GRAND RIVER ENDOSCOPY CENTER, L.L.C.

Practice address

310 Lafayette Ave SE
Suite 200
Grand Rapids, MI 49503-4693

Phone

(616) 752-5890

NPI assigned

Mar 10, 2006

Last updated

Oct 25, 2024By 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

Holly Sund

Title

Access ASC Billing Team Lead

Phone

(616) 685-7174

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Grand River Endoscopy Center LLCCCN 23C0001065

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Trinity Health-Michigan

  dba Stjoseph Mercy Professional Pharmacy

  • Community/Retail Pharmacy
  • Pontiac, MI
  • NPI 1922105287

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Srinivas K. Janardan, M.D.

  • Gastroenterology Physician
  • Grand Rapids, MI
  • NPI 1770588279
  NPD
• Kenneth S. Lown, M.D.

  • Specialist
  • Grand Rapids, MI
  • NPI 1689679185
  NPD (past)

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1043288467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-752-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-752-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER ENDOSCOPY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "SUND",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ACCESS ASC BILLING TEAM LEAD",
        "authorized_official_telephone_number": "616-685-7174"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Ridge Family Dentistry
• Grand Ridge Family Dentistry
• Grand River Bands of Ottawa Indians Inc.
• Grand River Cardiology, PLC
• Grand River Emergency Medical Group PLC
• Grand River Gastroenterology PC
• Grand River Mobility LLC (Next Day Access of Grand Rapids and Lansing)
• Grand River Rehabilitation LLC
• Grand Valley Dental Care, P.C.
• Grand Valley Family Health Center

• Ambulatory Surgical Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.