Maryville ASC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000001 Issued in TN

Legal business name

MARYVILLE ASC

Doing business as

Tennessee Endoscopy Center

Practice address

1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204

Phone

(865) 983-0073

Fax

(615) 234-1720

NPI assigned

Jan 17, 2006

Last updated

Nov 4, 2025By 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 Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tennessee Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Tennessee EndoscopyCCN 44C0001044

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

Member of 2

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

• Blount Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Maryville, TN
  • NPI 1144286709

  Member Of

  NPD member
• Prisma Health - Blount Memorial Hospital Inc.

  dba Blount Memorial Hospital Hospice

  • Community Based Hospice Care Agency
  • Maryville, TN
  • NPI 1346236494

  Member Of

  NPD member

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1073593109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "address_2": "ATTN:L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "865-983-0073",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046204",
            "telephone_number": "865-983-0073",
            "fax_number": "615-234-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE ASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287662",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine J Martin, MSN, CPNP
• Rebecca P Martin
• Stephenie Ann Martin, B.S.
• Tracy Dale Martin, PT, ATC
• Maryville Anesthesiologists PC
• Maryville Dental Care
• Maryville Dental, PLLC. (Maryville Dental)
• Maryville Fairpark Opco LLC (Fairpark Health and Rehabilitation)
• Maryville Foot Clinic Inc
• Maryville Jamestown Opco LLC (Foothills Transitional Care and Rehabilitation)

• Ambulatory Surgical Clinic/Center in Maryville, TN
• Providers in Maryville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.