Kissimmee Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

1130 Issued in FL

Legal business name

KISSIMMEE ENDOSCOPY CENTER

Practice address

715 Oak Commons Blvd
Kissimmee, FL 34741-4213

Phone

(407) 931-2816

Fax

(407) 931-3485

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christopher A Holden

Title

Chief Manger of LLC

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 8

Tax ID family

Kissimmee Endoscopy Cen2 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.

• Kissimmee Endoscopy Center Associates, Inc

  • Ambulatory Surgical Clinic/Center
  • Kissimmee, FL
  • NPI 1366539629
  NPD tax ID

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1477595056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414213",
            "telephone_number": "407-931-2816",
            "fax_number": "407-931-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 OAK COMMONS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414213",
            "telephone_number": "407-931-2816",
            "fax_number": "407-931-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "FL",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "283180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "6A8",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2802721",
            "identifier": "AETNA HMO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO/POS",
            "identifier": "7144367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL/WELLCARE",
            "identifier": "199240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6547055",
            "identifier": "CIGNA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH OPTIONS",
            "identifier": "6A8",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "113612",
            "identifier": "AMERIGROUP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Evadne Kirschner, P.T.A.
• Kissimmee Assisted Living LLC
• Kissimmee Chiropractic Center and Rehab Inc
• Kissimmee Dental Associates PA
• Kissimmee Diagnostic Center,LLC
• Kissimmee Endoscopy Center Associates, Inc
• Kissimmee Facility Operations LLC
• Kissimmee Family Dentistry, PLLC
• Kissimmee FL Opco LLC
• Kissimmee Health Care Associates LLC

• Endoscopy Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Endoscopy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.