Midatlantic Endoscopy LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

21591501 Issued in PA

Legal business name

MIDATLANTIC ENDOSCOPY LLC

Practice address

4140 Oregon Pike
Ephrata, PA 17522-9405

Phone

(717) 869-4600

Fax

(717) 869-4611

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Phillip A. Clendenin

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• Mid-Atlantic Gastrointestinal Center II Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Midatlantic Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1124559679

  O20170311000032

  Same enrollment
• Midatlantic Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1255872784

  O20170311000032

  Same enrollment

Listed as

Midatlantic Gastronintestinal Center IIICCN 39C0001245

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

Tax ID family

Mid-Atlantic Gastrointestinal Center2 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.

• Midatlantic Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1255872784
  NPD tax ID

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1497296198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 OREGON PIKE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229405",
            "telephone_number": "717-869-4600",
            "fax_number": "717-869-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDATLANTIC ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "21591501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Atlantic Gastrointestinal Center II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shahina Rahim Merchant, MHS, PA -C
• Persila V. Mertz, M.D.
• Kylee Ann Metz, MS, CAADC, CCTP
• Courtney N Metzler, LMT
• Michael H Cohen DDS PC
• Jill Aileen Millard, PT
• Danielle J Miller, MD
• Kristin Miller, DPT
• Robert Miller, ND
• Sandra Lynne Miller

• Ambulatory Surgical Clinic/Center in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.