Organization Active NPI

Park Ventura Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Plano, TX
National Provider Identifier
1497724942
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PARK VENTURA ENDOSCOPY CENTER, LLC
Practice address
3500 Preston Rd Ste 200
Plano, TX 75093-8644
Phone
(972) 985-2300
Fax
(972) 985-2320
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Jeffrey E. Snodgrass
Title
President
Phone
(615) 665-1283

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Endoscopy Clinic/Center 261QE0800X 007950 TX

Addresses

Primary practice location

3500 Preston Rd Ste 200
Plano, TX 75093-8644

Mailing address

1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 240-3741

Other identifiers 2

IdentifierTypeStateIssuer
HH002AOtherTXBCBSTX
159670201MedicaidTX

Other names 1

  • Digestive Health Center of Plano Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504001004 TX Part B Supplier - Ambulatory Surgical Center 9537157904 1 other NPI on this enrollment
Practice locations: Allen, TX; Plano, TX

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Digestive Health Center of PlanoCCN 45C0001333
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
45D1017534Park Ventura Endoscopy Center, LLC3500 Preston Road Ste 200, Plano, TX 75093Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Park Ventura Endoscopy Ctr2 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.

Locations

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1497724942",
    "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": "615-240-3741",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PRESTON RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938644",
            "telephone_number": "972-985-2300",
            "fax_number": "972-985-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VENTURA ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TX",
            "license": "007950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "HH002A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159670201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Center of Plano",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Digestive Health Center of Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.