Fort Worth Endoscopy Centers, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FORT WORTH ENDOSCOPY CENTERS, LLC

Practice address

900 West Magnolia Ave
# 101
Fort Worth, TX 76104

Phone

(817) 332-6500

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Richard L. Sharff Jr.

Title

VP

Phone

(205) 545-2572

Specialties & licenses 1

Addresses

Other names 1

• Fort Worth Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fort Worth Endoscopy Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
  • NPI 1538104724

  5597761452

  Same PAC ID

Listed as

Fort Worth Endoscopy CenterCCN 45C0001180

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

Tax ID family

Fort Worth Endoscopy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Worth Endoscopy Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
  • NPI 1538104724
  NPD tax ID

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1104883784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST MAGNOLIA AVE",
            "address_2": "# 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WEST MAGNOLIA AVE",
            "address_2": "# 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WORTH ENDOSCOPY CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "205-545-2572",
        "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": [
        {
            "organization_name": "Fort Worth Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Worth Diagnostic Clinic PA
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• Fort Worth Emergency Dental Care PC
• Fort Worth Emergency Dental Care USA Management Inc.
• Fort Worth Endodontics
• Fort Worth Endoscopy Centers, LLC
• Fort Worth ENT,P.a.
• Fort Worth Eye Associates
• Fort Worth Eye Associates
• Fort Worth Eye Center PLLC

• Ambulatory Surgical Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.