Conroe TX Endoscopy ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CONROE TX ENDOSCOPY ASC LLC

Doing business as

River Oaks Endoscopy Center

Practice address

1501 River Pointe Dr
Suite 260
Conroe, TX 77304

Phone

(936) 494-3636

Fax

(936) 494-3635

NPI assigned

Sep 12, 2007

Last updated

Apr 19, 2022By the provider in NPPES

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

Other names 1

• River Oaks Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Conroe TX Endoscopy ASC LLC Dba River Oaks Endoscopy CenterCCN 45C0001340

Medicare certification status

ActiveFrom 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.

• Stephen Michael Kelly, MD

  • Gastroenterology Physician
  • Conroe, TX
  • NPI 1245367663
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1255526265",
    "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": "615-665-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR",
            "address_2": "SUITE 260",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77304",
            "telephone_number": "936-494-3636",
            "fax_number": "936-494-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE TX ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042087-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Oaks Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Oaks Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conroe Medihealth Associates PA (MediClinic Conroe)
• Conroe Montgomery Physicians Group, PLLC
• Conroe Physical Medicine and Rehabilitation PA (Apex Physical Medicine and Rehab.)
• Conroe Premier Sleep Center, LP (Conroe Premier Sleep Center)
• Conroe Surgery Center 2, LLC
• Conroe Urgent Care Clinic
• Conroe Vascular and Interventional LLP
• Conroe Vision Associates (Eyeland)
• Conroe Vision Associates PA
• Conroe Willis Family Medicine, PLLC

• Ambulatory Surgical Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.