West Shore Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

05401500 Issued in PA

Legal business name

WEST SHORE ENDOSCOPY CENTER LLC

Practice address

423 N 21St St
Suite 102
Camp Hill, PA 17011-2207

Phone

(717) 975-2430

Fax

(717) 730-2158

NPI assigned

Jul 15, 2005

Last updated

Oct 22, 2007By 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

Frank W Jackson, MDNPI 1164421673

Title

President

Phone

(717) 975-2430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

West Shore Endoscopy Center LLCCCN 39C0001048

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Frank Wilson Jackson III, MD

  • Gastroenterology Physician
  • Camp Hill, PA
  • NPI 1164421673
  Medicare reassignment NPD Authorized official
• Subhra Banerjee, M.D.

  • Gastroenterology Physician
  • Harrisburg, PA
  • NPI 1043478407
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1326047937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N 21ST ST",
            "address_2": "SUITE 102",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112207",
            "telephone_number": "717-975-2430",
            "fax_number": "717-730-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N 21ST ST",
            "address_2": "SUITE 102",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112207",
            "telephone_number": "717-975-2430",
            "fax_number": "717-730-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-975-2430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "05401500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018652640002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allicyn Wentzell
• Amber Werley
• Kelsey Wesko
• West Point Optical
• West Shore Anesthesia Associates, LTD
• West Shore Family Dentistry LTD
• West Shore Pathology Associates Inc
• West Shore Wellness
• Joseph E West, MD
• Susan Rae West

• Ambulatory Surgical Clinic/Center in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.