Organization Active NPI

Avamar Center for Endoscopy,Inc

  • Endoscopy Clinic/Center
  • Warren, OH
National Provider Identifier
1417935503
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
0624AS Issued in OH
Legal business name
AVAMAR CENTER FOR ENDOSCOPY,INC
Practice address
9225 E Market St
Warren, OH 44484-5517
Phone
(330) 372-7470
Fax
(330) 372-7480
NPI assigned
Jan 9, 2006
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Mrs. Barbara E. Steinbeck
Title
Executive Director
Phone
(330) 372-7470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 0624AS OH Primary

Addresses

Primary practice location

9225 E Market St
Warren, OH 44484-5517

Mailing address

9225 E Market St
Warren, OH 44484-5517
Phone (330) 372-7470

Other identifiers 1

IdentifierTypeStateIssuer
2217443MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120321000401 OH Part B Supplier - Ambulatory Surgical Center 1951561414 Practice locations: Warren, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Avamar Center for EndoscopyincCCN 36C0001149
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0985777Avamar Center for Endoscopy Inc9225 East Market Street Suite 200, Warren, OH 44484Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9225 E Market St
#200
Warren, OH 44484
Phone (330) 372-7470

9225 E Market St
Ste 200
Warren, OH 44484

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1417935503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845517",
            "telephone_number": "330-372-7470",
            "fax_number": "330-372-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845517",
            "telephone_number": "330-372-7470",
            "fax_number": "330-372-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAMAR CENTER FOR ENDOSCOPY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "STEINBECK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-372-7470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "OH",
            "license": "0624AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.