NPIMap

Organization Active NPI

Endoscopy Center of Topeka LP

Doing business as The Endoscopy and Surgery Center of Topeka

  • Ambulatory Surgical Clinic/Center
  • Topeka, KS
National Provider Identifier
1174502272
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
S-089-004 Issued in KS
Legal business name
ENDOSCOPY CENTER OF TOPEKA LP
Doing business as
The Endoscopy and Surgery Center of Topeka
Practice address
2200 SW 6TH Ave
Suite 103
Topeka, KS 66606-1707
Phone
(785) 354-1254
Fax
(785) 354-1598
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Phillip A Clendenin
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X S-089-004 KS Primary

Addresses

Primary practice location

2200 SW 6TH Ave
Suite 103
Topeka, KS 66606-1707

Mailing address

2200 SW 6TH Ave
Suite 103
Topeka, KS 66606-1707
Phone (785) 354-1254

Other identifiers 1

IdentifierTypeStateIssuer
100215630-AMedicaidKS

Other names 1

  • The Endoscopy and Surgery Center of Topeka Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050405001240 KS Part B Supplier - Ambulatory Surgical Center 2668429200 Practice locations: Topeka, KS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Endoscopy Center of Topeka LPCCN 17C0001018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0883266Endoscopy Center of Topeka LP2200 SW 6TH Street Suite 103, Topeka, KS 66606Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

2200 SW 6th Ave
Ste 103
Topeka, KS 66606
Phone (785) 354-1254

2921 SW Wanamaker Dr
Ste 100
Topeka, KS 66614

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1174502272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE",
            "address_2": "SUITE 103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-1254",
            "fax_number": "785-354-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE",
            "address_2": "SUITE 103",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-1254",
            "fax_number": "785-354-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF TOPEKA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S-089-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215630-A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Endoscopy and Surgery Center of Topeka",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.