Endoscopy Center of Southwest Virginia LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENDOSCOPY CENTER OF SOUTHWEST VIRGINIA LLC

Practice address

204 Duke of Glouchester St
Roanoke, VA 24014

Phone

(540) 344-1264

Fax

(540) 345-4179

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Diane Lynn Allison

Title

Administrator

Phone

(540) 510-3324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Ambulatory surgical center certification: CCN 49C0001113

Legal name

Endoscopy Center of Southwest Virginia LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 24, 2025

Last certification

Apr 9, 2025

Ownership / control type

Proprietary

Facility address

204 Duke of Gloucester St SW
Roanoke, VA 24014

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

CLIA laboratory certificates

Practitioners 9

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

• Vishal Kaushikbhai Bhagat, MD

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1649364381
  Medicare reassignment NPD
• Vishal B. Gohil, M.D.

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1013120997
  Medicare reassignment NPD
• Roy Lee Meyers III, MD

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1548212319
  Medicare reassignment NPD
• Farhad Sahebjam, M.D.

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1154661288
  Medicare reassignment NPD
• Nirish S Shah, MD

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1932129566
  Medicare reassignment NPD
• Andrew Stone Clark, MD

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1245223056
  NPD (past)
• Mark D Hamilton, M.D.

  • Anesthesiology Physician
  • Salem, VA
  • NPI 1003939737
  NPD (past)
• John R Shannon, M. D.

  • Anesthesiology Physician
  • Salem, VA
  • NPI 1316968613
  NPD (past)
• Amy M Hamilton, MD

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1487871620
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1326084740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DUKE OF GLOUCHESTER ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-344-1264",
            "fax_number": "540-345-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DUKE OF GLOUCHESTER ST",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-344-1264",
            "fax_number": "540-345-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF SOUTHWEST VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "540-510-3324"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowering Hope Counseling, LLC (Riverstone Counseling Center)
• Emtech Laboratories Inc.
• Encompass Home Health of the Mid Atlantic, LLC (Encompass Home Health of Western Virginia)
• Endocrine Care & Education Center, PLLC
• Endocrinology Associates Inc
• Eugene H Eng, M.D.
• Casey Elizabeth Engel, MD
• Brittany Lee Wohler England
• Kelly L England, NP-C
• William Randall England, MD

• Ambulatory Surgical Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.