Colonoscopy and Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLONOSCOPY AND ENDOSCOPY CENTER LLC

Practice address

7211 N Main St
Suite 3
Dayton, OH 45415-2566

Phone

(937) 350-6703

NPI assigned

Feb 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Julie L Sprenkel

Title

Administrator

Phone

(937) 313-0081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Colonoscopy and Endoscopy Center LLCCCN 36C0001289

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

Locations

Practitioners 1

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

• Ramesh K Gandhi, MD

  • Gastroenterology Physician
  • Dayton, OH
  • NPI 1275514663
  NPD (past)

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423958400000",
    "number": "1407247208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152566",
            "telephone_number": "937-350-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152566",
            "telephone_number": "937-350-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONOSCOPY AND ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-15",
        "status": "A",
        "authorized_official_last_name": "SPRENKEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-313-0081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Collins, LSW
• Reatha Yvonne Collinsworth, RN
• Roberto J Colon, M.D.
• Tracy Lynn Colon
• Colonial Senior Services, Inc.
• Debbie L. Colson-McCarthy, M.S.ED CCCSLP
• Deondra Anne Colston, CDCA II
• Julia Anne Coltri, MS, CGC
• Torri Nichelle Colts
• Jacqueline Colvard

• Ambulatory Surgical Clinic/Center in Dayton, OH
• Providers in Dayton, 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 Feb 15, 2015; 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.