Grant Scope Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0928AS Issued in OH

Legal business name

GRANT SCOPE CENTER, LLC

Practice address

700 E Broad St
1St Floor
Columbus, OH 43215-3946

Phone

(614) 917-1670

Fax

(614) 947-3991

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Kim, D.O.NPI 1144260076

Title

Board President

Phone

(614) 458-1183

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Downtown Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Downtown Endoscopy CenterCCN 36C0001251

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149

  Member Of

  NPD member

Locations

Practitioners 2

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

• Gordon Young Kim, D. O.

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1144260076
  NPD Authorized official
• Tamara Inasmarie Blankenship

  • Ambulatory Care Registered Nurse
  • Columbus, OH
  • NPI 1174267876
  NPD

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1346497989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153946",
            "telephone_number": "614-917-1670",
            "fax_number": "614-947-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153946",
            "telephone_number": "614-917-1670",
            "fax_number": "614-947-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT SCOPE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "614-458-1183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0928AS",
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "OH",
            "license": "0928AS",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy P Grannell, CRNA
• Karen Kafer Grannis
• Grant Anesthesia Services LTD
• Grant Pulmonary Physicians Inc
• Grant Riverside Phy Rxcare
• Andrea Grant, LPC
• Autumn Grant, LSW
• Christopher Grant
• Eric Neilson Grant
• Gina Marie Grant

• Ambulatory Surgical Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.