Tacoma Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

FX00056070 Issued in WA

Legal business name

TACOMA ENDOSCOPY CENTER

Practice address

1112 6TH Ave
200
Tacoma, WA 98405-4040

Phone

(253) 272-8664

Fax

(253) 404-1352

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

John G Carrougher, MD

Title

Medical Director

Phone

(253) 272-8664

Specialties & licenses 2

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Michael Priebe, MD

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1659358877
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1144297003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-8664",
            "fax_number": "253-404-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "CARROUGHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-272-8664",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60099979",
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "WA",
            "license": "FX00056070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "77687",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7065394",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "TA2834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tacoma East of Cascadia, LLC
• Tacoma Emergency Care Physicians, PLLC
• Tacoma Emergency Care Physicians, PLLC
• Tacoma Emergency Medicine Associates PC
• Tacoma Endodontic Studio
• Tacoma Eye Surgeons PS
• Tacoma Eyecare Center Inc
• Tacoma Family Chiropractic Inc., P.S.
• Tacoma Family Eyecare
• Tacoma Foot and Ankle Clinic Inc

• Endoscopy Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Endoscopy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.