Organization Active NPI

Endoscopy Center of Lawrence

  • Ambulatory Surgical Clinic/Center
  • Lawrence, KS
National Provider Identifier
1417066135
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
S023003 Issued in KS
Legal business name
ENDOSCOPY CENTER OF LAWRENCE
Practice address
4525 W 6TH St Ste 100
Lawrence, KS 66049-7700
Phone
(785) 843-5160
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mary Ann Ice
Title
Administrator
Phone
(785) 843-5160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X S023003 KS Primary

Addresses

Primary practice location

4525 W 6TH St Ste 100
Lawrence, KS 66049-7700

Mailing address

4525 W 6TH St Ste 100
Lawrence, KS 66049-7700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1417066135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 W 6TH ST STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660497700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 W 6TH ST STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660497700",
            "telephone_number": "785-843-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF LAWRENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ICE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-843-5160"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S023003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.