NPIMap

Organization Active NPI

Western Carolina Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Franklin, NC
National Provider Identifier
1225225592
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AS0097 Issued in NC
Legal business name
WESTERN CAROLINA ENDOSCOPY CENTER, LLC
Practice address
197 Riverview St
Franklin, NC 28734-7335
Phone
(828) 349-3636
NPI assigned
Oct 1, 2007
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN CAROLINA DIGESTIVE CONSULTANTS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Phillip Stack, MD
Title
Owner
Phone
(828) 349-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AS0097 NC Primary

Addresses

Primary practice location

197 Riverview St
Franklin, NC 28734-7335

Mailing address

PO Box 111
Sylva, NC 28779-0111
Phone (828) 349-3636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090113000813 NC Part B Supplier - Ambulatory Surgical Center 8123181450 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, NC

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Western Carolina Endoscopy Center LLCCCN 34C0001141
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
W Car Digest Consults P

Interoperability endpoints

  • FHIR API: https://35e809af-55fd-4464-b97b-98cb80ebf600.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1225225592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790111",
            "telephone_number": "828-349-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RIVERVIEW ST",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287347335",
            "telephone_number": "828-349-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN CAROLINA DIGESTIVE CONSULTANTS, P.A.",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-349-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.