Schuylkill Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

17381501 Issued in PA

Legal business name

SCHUYLKILL ENDOSCOPY CENTER

Practice address

48 Tunnel Rd
Suite 103
Pottsville, PA 17901-3875

Phone

(570) 622-6520

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher A Holden

Title

President of the General Partner

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Schuylkill Endoscopy Ce2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Schuylkill Endoscopy Center

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1548243256
  NPD tax ID

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1346269784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 TUNNEL RD",
            "address_2": "SUITE 103",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013875",
            "telephone_number": "570-622-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 TUNNEL RD",
            "address_2": "SUITE 103",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013875",
            "telephone_number": "570-622-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLKILL ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF THE GENERAL PARTNER",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "PA",
            "license": "17381501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00119614",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan S Schuettler, MS CCC SL/P
• Marie Wixted Schuler, OTRL
• Austin Schultz, RPH
• Schuylkill Center Opco LLC
• Schuylkill County Office of Senior Services
• Schuylkill Endoscopy Center
• Schuylkill Health System Medical Group, Inc.
• Schuylkill Health System Medical Group, Inc.
• Schuylkill Medical Center - East Norwegian Street
• Schuylkill Medical Center - East Norwegian Street

• Endoscopy Clinic/Center in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Endoscopy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.