Eastern Pennsylvania Endoscopy Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

15211501 Issued in PA

Legal business name

EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC.

Practice address

1501 N Cedar Crest Blvd
Suite 100
Allentown, PA 18104-2309

Phone

(610) 289-2172

NPI assigned

Mar 9, 2006

Last updated

Oct 22, 2019By 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

Ms. Eileen Connelly

Title

Patient Account Manager

Phone

(610) 289-2172

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxine Marinari II, CRNA

  • Certified Registered Nurse Anesthetist
  • Lansdale, PA
  • NPI 1407972235
  NPD (past)
• Jessica D Zehr, PA-C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1891028122
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1376511857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-289-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042309",
            "telephone_number": "610-289-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PATIENT ACCOUNT MANAGER",
        "authorized_official_telephone_number": "610-289-2172",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "15211501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK FACILITY",
            "identifier": "1604",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20013921",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390841",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BC FACILITY",
            "identifier": "0001593000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE FACILITY",
            "identifier": "216599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE ANESTHES",
            "identifier": "257972",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7438374",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0415476",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007770160004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamar D Earnest, MD
• Earvanna
• Tommie Easley, M.D.
• Easter Seals Eastern Pennsylvania
• Eastern PA Nephrology Assoc P.C.
• Eastern Pennsylvania Endoscopy Center, Inc.
• Eastern Pennsylvania Endoscopy Center, LLC
• Eastern Pennsylvania Endoscopy Center, LLC
• Eastern Pennsylvania Gastroenterology & Liver Specialists P C
• Eastern Salisbury Fire Ambulance & Rescue Company

• Ambulatory Surgical Clinic/Center in Allentown, PA
• Providers in Allentown, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.