Tippecanoe Endoscopy Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0009AS Issued in OH

Legal business name

TIPPECANOE ENDOSCOPY INC

Practice address

1210 Boardman Canfield Rd
Youngstown, OH 44512-4003

Phone

(330) 726-0132

Fax

(330) 726-2571

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Ying K Amorn, MDNPI 1518951466

Title

Medical Director

Phone

(330) 726-0132

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ying K Amorn, MD

  • Gastroenterology Physician
  • Youngstown, OH
  • NPI 1518951466
  NPD (past) Authorized official

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1245224286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BOARDMAN CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124003",
            "telephone_number": "330-726-0132",
            "fax_number": "330-726-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BOARDMAN CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124003",
            "telephone_number": "330-726-0132",
            "fax_number": "330-726-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPECANOE ENDOSCOPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "AMORN",
        "authorized_official_first_name": "YING",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-726-0132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0009AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Tillery
• Brett Paul Tillery
• Joseph S Timko, LSW
• Brooke Timm, CDCA
• Shermere Tindell
• Monica J Tisone
• Bethany Grace Tittle, CNP
• Giavanna M Tkach, BSN RN
• TLM Residential Services
• Jonathan Tobin

• Ambulatory Surgical Clinic/Center in Youngstown, OH
• Providers in Youngstown, 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 Nov 2, 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.

Verify at the official NPI Registry.