Active NPI
Endoscopy Center Inc
- Ambulatory Surgical Clinic/Center
- Toledo, OH
National Provider Identifier
1154318293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0323546 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Sylvania, OH
- NPI 1871580993
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.