Hermitage TN Endoscopy ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HERMITAGE TN ENDOSCOPY ASC, LLC

Practice address

5653 Frist Blvd
Suite 532
Hermitage, TN 37076-2062

Phone

(615) 885-1093

Fax

(615) 885-1110

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 2

Addresses

Other names 1

• Associated Endoscopy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Hermitage TN Endoscopy ASC LLCCCN 44C0001083

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

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1174859516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "address_2": "ATTN: L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156103",
            "telephone_number": "615-885-1093",
            "fax_number": "615-885-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 532",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762062",
            "telephone_number": "615-885-1093",
            "fax_number": "615-885-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE TN ENDOSCOPY ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TN",
            "license": "0000000092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associated Endoscopy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hermitage Psychiatric Group
• Hannah Hertel, PA-C
• Shelby Hesser, PHARMD
• Joseph William Hewgley, PT
• Stephanie Hicks
• Kastarr High

• Ambulatory Surgical Clinic/Center in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.