Active NPI
Endoscopy Center of Southeast Texas LP
- Ambulatory Surgical Clinic/Center
- Beaumont, TX
National Provider Identifier
1295714301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008331
- Legal business name
- ENDOSCOPY CENTER OF SOUTHEAST TEXAS LP
- Doing business as
- Endoscopy Center of Southeast Texas
- Practice address
- 950 N 14TH St
Suite 200
Beaumont, TX 77702-1101 - Phone
- (409) 833-5555
- Fax
- (409) 833-9911
- NPI assigned
- Jan 17, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008331 | TX | Primary |
Addresses
Primary practice location
950 N 14TH St
Suite 200
Beaumont, TX 77702-1101
Mailing address
1A Burton Hills Blvd
Nashville, TN 37215-6187
Phone (615) 665-1283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107758801 | Medicaid | TX | |
| 1186180 | Medicaid | LA |
Other names 1
- Endoscopy Center of Southeast Texas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060220000518 | TX | Part B Supplier - Ambulatory Surgical Center | 6800801341 | Practice locations: Beaumont, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopy Center of Southeast Texas LP
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0915905 | Endoscopy Center of Southeast Texas | Certificate of waiver | Jun 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
950 N 14th St
Ste 200
Beaumont, TX 77702
Phone (409) 833-5555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Beaumont, TX
- NPI 1811359599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655942400000",
"number": "1295714301",
"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": "950 N 14TH ST",
"address_2": "SUITE 200",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021101",
"telephone_number": "409-833-5555",
"fax_number": "409-833-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENDOSCOPY CENTER OF SOUTHEAST TEXAS LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-17",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"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": "TX",
"license": "008331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107758801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1186180",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Endoscopy Center of Southeast Texas",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Endoscopy Center of Southeast Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.