Active NPI
Three Rivers Endoscopy Center, Inc.
- Ambulatory Surgical Clinic/Center
- Moon Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 391061
- Legal business name
- THREE RIVERS ENDOSCOPY CENTER, INC.
- Practice address
- 725 Cherrington Parkway
Ste 101
Moon Township, PA 15108-4305 - Phone
- (412) 262-1000
- Fax
- (412) 262-4607
- NPI assigned
- May 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lester E Stine, M.D.
- Title
- President and Medical Director
- Phone
- (412) 262-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 391061 | PA | Primary |
Addresses
Primary practice location
725 Cherrington Parkway
Ste 101
Moon Township, PA 15108-4305
Mailing address
725 Cherrington Parkway
Ste 101
Moon Township, PA 15108-4305
Phone (412) 262-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001652309 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120529000225 | PA | Part B Supplier - Ambulatory Surgical Center | 1052574167 | Practice locations: Moon Township, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Three Rivers Endoscopy Center Inc
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0989426 | Three Rivers Endoscopy Center | Certificate of waiver | Jul 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
725 Cherrington Pkwy
Ste 101
Moon Township, PA 15108
Phone (412) 262-1000
725 Cherrington Pkwy
#101
Moon Township, PA 15108
Phone (412) 262-1000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Moon Township, PA
- NPI 1184606410
-
- Gastroenterology Physician
- Moon TWP, PA
- NPI 1215918529
-
- Gastroenterology Physician
- Moon Township, PA
- NPI 1881676138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486598400000",
"number": "1386602332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 CHERRINGTON PARKWAY",
"address_2": "STE 101",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151084305",
"telephone_number": "412-262-1000",
"fax_number": "412-262-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 CHERRINGTON PARKWAY",
"address_2": "STE 101",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151084305",
"telephone_number": "412-262-1000",
"fax_number": "412-262-4607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THREE RIVERS ENDOSCOPY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2017-02-09",
"status": "A",
"authorized_official_last_name": "STINE",
"authorized_official_first_name": "LESTER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
"authorized_official_telephone_number": "412-262-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "PA",
"license": "391061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001652309",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moon Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.