Digestive Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIGESTIVE ENDOSCOPY CENTER LLC

Practice address

1530 Needmore Rd
Suite 100
Dayton, OH 45414-3969

Phone

(937) 293-2169

Fax

(937) 297-2203

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey E. Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Digestive Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Dayton, OH
  • NPI 1003888710

  O20081030000063

  Same enrollment
• Digestive Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Springboro, OH
  • NPI 1144416587

  O20081030000063

  Same enrollment
• Digestive Endoscopy Center LLC

  dba Digestive Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Huber Heights, OH
  • NPI 1497727119

  O20081030000063

  Same enrollment

Listed as

Digestive Endoscopy Center LLCCCN 36C0001102

Medicare certification status

Terminated Voluntary: merger or closure, Jan 1, 2025From the Provider of Services file

Locations

Practitioners 1

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.

• Ramesh K Gandhi, MD

  • Gastroenterology Physician
  • Dayton, OH
  • NPI 1275514663
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1194790808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3741",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 NEEDMORE RD",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143969",
            "telephone_number": "937-293-2169",
            "fax_number": "937-297-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dietz, O.T.
• Wolfgang F Dietz, MD
• Ashlyn Clay Difrederico, NP
• Gerard Digdigan, DPT
• Digestive Endoscopy Center LLC
• Digestive Specialists Inc
• Digestive Specialists Inc
• Digestive Specialists Inc
• Digestive Specialists Inc
• Courtney Digiorgi, LCDC-III

• Ambulatory Surgical Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.