Organization Active NPI

Endoscopy Center Inc

  • Ambulatory Surgical Clinic/Center
  • Toledo, OH
National Provider Identifier
1154318293
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ENDOSCOPY CENTER INC
Practice address
3439 Granite Cir
Toledo, OH 43617-1161
Phone
(419) 843-7993
Fax
(419) 841-7789
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Kevin K Koffel, M.D.
Title
President
Phone
(419) 843-7993

Specialties & licenses 1

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

Addresses

Primary practice location

3439 Granite Cir
Toledo, OH 43617-1161

Mailing address

3439 Granite Cir
Toledo, OH 43617-1161
Phone (419) 843-7993

Other identifiers 1

IdentifierTypeStateIssuer
0323546MedicaidOH

National Provider Directory

National Provider Directory

Locations

3439 Granite Cir
Toledo, OH 43617
Phone (419) 843-7996

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1154318293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171161",
            "telephone_number": "419-843-7993",
            "fax_number": "419-841-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171161",
            "telephone_number": "419-843-7993",
            "fax_number": "419-841-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "KOFFEL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-843-7993",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.