Susquehanna Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUSQUEHANNA ENDOSCOPY CENTER, LLC

Practice address

10 Choate Circle
Montoursville, PA 17754

Phone

(570) 368-5581

Fax

(570) 368-5564

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Holly M Neuhard

Title

Administrator

Phone

(570) 368-5561

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• John Thomas Burns, M.D.

  • Gastroenterology Physician
  • Montoursville, PA
  • NPI 1184621260
  NPD

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1063685980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHOATE CIRCLE",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "17754",
            "telephone_number": "570-368-5581",
            "fax_number": "570-368-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHOATE CIRCLE",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "17754",
            "telephone_number": "570-368-5581",
            "fax_number": "570-368-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "NEUHARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-368-5561"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00673224",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Sofia, RDN, LDN
• Meredith Anne Spotts
• Daniel L Stairs, CRNA
• Sam Stea
• Nancy Susan Story, M.D.
• Susquehanna Gastroenterology Associates, LTD
• Susquehanna Physician Services
• Susquehanna Physician Services
• Farinaz Tabatabai, CRNP
• Nicole Tagge, RD

• Ambulatory Surgical Clinic/Center in Montoursville, PA
• Providers in Montoursville, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.