Grand Junction Endoscopy Center, Prof LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0551 Issued in CO

Legal business name

GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC

Practice address

1035 Wellington Ave
Grand Junction, CO 81501-8122

Phone

(970) 242-6600

Fax

(970) 242-1070

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Steven Seagren, MD

Title

Medical Director

Phone

(970) 242-6600

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Peter Walsh, DO

  • Gastroenterology Physician
  • Bozeman, MT
  • NPI 1255372736
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1356493787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018122",
            "telephone_number": "970-242-6600",
            "fax_number": "970-242-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 WELLINGTON AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018122",
            "telephone_number": "970-242-6600",
            "fax_number": "970-242-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND JUNCTION ENDOSCOPY CENTER, PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "SEAGREN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "970-242-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22458808",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRPTAN",
            "identifier": "P00170820",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Junction Chiropractic Center, P.C.
• Grand Junction Chiropractic Center, P.C.
• Grand Junction Creative Therapies
• Grand Junction Emergency Medical Group
• Grand Junction Endocrinology
• Grand Junction Family Medicine PC
• Grand Junction Gastroenterology, PLLC
• Grand Junction Nursing and Rehab Center, LLC
• Grand Junction Oral Surgery Associates, P.C.
• Grand Junction Orthodontics, PC

• Ambulatory Surgical Clinic/Center in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.