NPIMap

Organization Active NPI

Kissimmee Endoscopy Center

  • Endoscopy Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1477595056
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 1130 FL Primary

Addresses

Primary practice location

715 Oak Commons Blvd
Kissimmee, FL 34741-4213

Mailing address

715 Oak Commons Blvd
Kissimmee, FL 34741-4213
Phone (407) 931-2816

National Provider Directory

National Provider Directory
Tax ID family
Kissimmee Endoscopy Center Associates Inc2 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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • 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.