Independence ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

83-10 Issued in MO

Legal business name

INDEPENDENCE ASC LLC

Doing business as

The Endoscopy Center - East

Practice address

3800 S Whitney Ave
Suite 100
Independence, MO 64055-6765

Phone

(816) 478-4887

Fax

(816) 350-2196

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey E Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Endoscopy Center - East Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Independence ASC LLC

  dba The Endoscopy Center - Liberty

  • Ambulatory Surgical Clinic/Center
  • Kansas City, MO
  • NPI 1942272851

  0749219137

  Same PAC ID

Listed as

The Endoscopy Center EastCCN 26C0001038

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

Tax ID family

Endoscopy Center East2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Independence ASC LLC

  dba The Endoscopy Center - Liberty

  • Ambulatory Surgical Clinic/Center
  • Kansas City, MO
  • NPI 1942272851
  NPD tax ID

Locations

Practitioners 4

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

• Gregory B Barber, MD

  • Specialist
  • Kansas City, MO
  • NPI 1396748315
  NPD (past)
• Arthur L Brock, MD

  • Specialist
  • Independence, MO
  • NPI 1295738219
  NPD (past)
• Yan Chen, MD, PHD

  • Gastroenterology Physician
  • Independence, MO
  • NPI 1184627101
  NPD (past)
• Donald J Clement, MD

  • Gastroenterology Physician
  • Independence, MO
  • NPI 1336142348
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1407828494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-665-1283",
            "fax_number": "615-534-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S WHITNEY AVE",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556765",
            "telephone_number": "816-478-4887",
            "fax_number": "816-350-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "83-10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200369500A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Endoscopy Center - East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Endoscopy Center - East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In Home Health, LLC (ProMedica Hospice (Kansas City))
• In Home Health, LLC (ProMedica Hospice (Kansas City))
• Inclusions LLC
• Independence 1 Inc (Maywood Terrace Living Center)
• Independence Anesthesia Inc
• Independence Avenue Dental LLC (True Dental Group)
• Independence Community Healthcare, LLC (Jackson Creek Post Acute)
• Independence Fire Department
• Independence Group Health, LLC
• Independence Healthcare LLC (Abode Health and Wellness Center)

• Ambulatory Surgical Clinic/Center in Independence, MO
• Providers in Independence, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.