Metroeast Endoscopy Centre

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

036107831 Issued in IL

Legal business name

METROEAST ENDOSCOPY CENTRE

Practice address

5023 N Illinois St
Fairview Heights, IL 62208-3453

Phone

(618) 239-0678

Fax

(800) 516-2392

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By 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

Shakel Ahmed, MD

Title

President

Phone

(618) 239-0678

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1356650915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083453",
            "telephone_number": "618-239-0678",
            "fax_number": "800-516-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083453",
            "telephone_number": "618-239-0678",
            "fax_number": "800-516-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROEAST ENDOSCOPY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-239-0678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "036107831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corynne McPeters, LSW
• Kayla Faith McSherry
• Medgo, LLC
• Metro Cardiology Group LTD
• Metroeast Endoscopic Surgery Center
• Metroeast Neuropsychiatric Services, P.C.
• Rosanne Mezzano, OD
• Michael K. Faulkner DC
• Midwest Hearing Consultants Group, Inc. (Sears Hearing Aid Center,Miracle-Ear)
• Nareese Capri Miller

• Ambulatory Surgical Clinic/Center in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.