Methodist Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in NE

Legal business name

METHODIST ENDOSCOPY CENTER LLC

Practice address

515 North 162 Avenue
Suite 201
Omaha, NE 68118-2540

Phone

(402) 505-8708

Fax

(402) 505-8748

NPI assigned

Feb 1, 2010

Last updated

Feb 13, 2010By 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

Dr. Tyron A. Alli, M.D.NPI 1447225784

Title

Owner and Manager

Phone

(402) 397-7057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Listed as

Methodist Endoscopy Center LLCCCN 28C0001055

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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.

• Tyron A Alli, M.D.

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1447225784
  NPD (past) Authorized official

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266019200000",
    "number": "1083946149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NORTH 162 AVENUE",
            "address_2": "SUITE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182540",
            "telephone_number": "402-505-8708",
            "fax_number": "402-505-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NORTH 162 AVENUE",
            "address_2": "SUITE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182540",
            "telephone_number": "402-505-8708",
            "fax_number": "402-505-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-13",
        "status": "A",
        "authorized_official_last_name": "ALLI",
        "authorized_official_first_name": "TYRON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "402-397-7057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Metcalf
• Jasmine Francois Metcalf
• Meredith Metcalf
• Nevaya Rose Metcalfe
• Thad James Metcalfe
• Mykael Elliott Metoyer
• Shaun M Metoyer
• Metro Chiropractic Center PC (Kristine B Simonson DC)
• Metro Chiropractic, LLC
• Metro Foot and Ankle Specialist, PC

• Ambulatory Surgical Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Ambulatory Surgical Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2010; 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.