NPIMap

Organization Active NPI

Carbon Schuylkill Endoscopy Center,Inc

  • Ambulatory Surgical Clinic/Center
  • Lehighton, PA
National Provider Identifier
1083670939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
17221501 Issued in PA
Legal business name
CARBON SCHUYLKILL ENDOSCOPY CENTER,INC
Practice address
400 South 9TH Street
Lehighton, PA 18235
Phone
(610) 379-0443
Fax
(610) 379-0587
NPI assigned
Apr 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl L Sensinger
Title
Billing
Phone
(610) 379-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 17221501 PA Primary

Addresses

Primary practice location

400 South 9TH Street
Lehighton, PA 18235

Mailing address

400 South 9TH Street
Lehighton, PA 18235
Phone (610) 379-0443

Other identifiers 1

IdentifierTypeStateIssuer
1009644200001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000676 PA Part B Supplier - Ambulatory Surgical Center 5193611010 Practice locations: Lehighton, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Carbon Schuylkill Endoscopy CenterincCCN 39C0001228
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1901 Hamilton St
Ste 100B
Allentown, PA 18104
Phone (610) 973-1410

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083670939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH 9TH STREET",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "18235",
            "telephone_number": "610-379-0443",
            "fax_number": "610-379-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH 9TH STREET",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "18235",
            "telephone_number": "610-379-0443",
            "fax_number": "610-379-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON SCHUYLKILL ENDOSCOPY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SENSINGER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "610-379-0443"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "17221501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009644200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.