Organization Active NPI

GS Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1083111835
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GS ENDOSCOPY CENTER LLC
Practice address
2000 Grant Ave
Philadelphia, PA 19115-4378
Phone
(215) 992-6000
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Dale Polley Jr.
Title
President
Phone
(615) 345-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2000 Grant Ave
Philadelphia, PA 19115-4378

Mailing address

401 Commerce St Ste 600
Nashville, TN 37219-2518
Phone (615) 345-6900

National Provider Directory

National Provider Directory

Locations

2000 Grant Ave
Philadelphia, PA 19115
Phone (215) 992-6000

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1083111835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192518",
            "telephone_number": "615-345-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154378",
            "telephone_number": "215-992-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "POLLEY",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-345-6900",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.