Mill Creek Endoscopy Suites, Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

2068615 Issued in OH

Legal business name

MILL CREEK ENDOSCOPY SUITES, INC

Practice address

1210 Boardman Canfield Rd
Youngstown, OH 44512-4003

Phone

(330) 726-0132

Fax

(330) 726-2571

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Denise Irwin

Title

Billing Administrator

Phone

(330) 399-7215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Mill Creek Endoscopy Suites IncCCN 36C0001067

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

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1487924536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836613",
            "telephone_number": "330-399-7215",
            "fax_number": "330-399-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BOARDMAN CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124003",
            "telephone_number": "330-726-0132",
            "fax_number": "330-726-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK ENDOSCOPY SUITES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "330-399-7215",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "OH",
            "license": "2068615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Miladore, M.D.
• Michael Patrick Miladore, M.D.
• Corinne Milentijevic, MSSA/LISW
• Stephanie M Miles
• Theressa Milhouse, RN
• Purity Rae Millard
• Ishia Milledge
• Catherine Lynn Miller, PMHNP
• Darlene Miller
• Dennis Miller

• Endoscopy Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Endoscopy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.