Mooresville Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

040041001 Issued in IN

Legal business name

MOORESVILLE ENDOSCOPY CENTER LLC

Practice address

1215 Hadley Rd
Ste 101
Mooresville, IN 46158-2905

Phone

(317) 834-5800

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Todd Hoopingarner

Title

Vice President Ceo

Phone

(317) 781-3604

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Mooresville Endoscopy Center LLCCCN 15C0001165

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.

• Franciscan Health Indianapolis & Mooresville

  • Rehabilitation Hospital Unit
  • Indianapolis, IN
  • NPI 1265532915

  Member Of

  NPD member
• The Endoscopy Center at St. Francis, LLC

  • Endoscopy Clinic/Center
  • Indianapolis, IN
  • NPI 1578561890

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1124086863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 S EAST ST",
            "address_2": "SUITE C-9",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271990",
            "telephone_number": "317-781-3604",
            "fax_number": "317-780-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD",
            "address_2": "STE 101",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582905",
            "telephone_number": "317-834-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "HOOPINGARNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VICE PRESIDENT CEO",
        "authorized_official_telephone_number": "317-781-3604"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "IN",
            "license": "040041001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "15C0001165",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200505280A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZJ7020",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miller'S Health Systems, Inc.
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• Brittany Monday, NP
• Mooresville Consolidated School C Orp.
• Mooresville Dental Acquisition
• Mooresville Family Dentistry
• Mooresville Family Eyecare, PC
• Mooresville Pediatric Dentistry PC
• Morgan County Family Dental LLC
• Tamara June Morrison - Barnett, FNP

• Endoscopy Clinic/Center in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Endoscopy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.