Gastrointestinal Associates Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC

Practice address

3225 Business Park Dr
Stevens Point, WI 54482-8837

Phone

(877) 442-7762

Fax

(715) 847-2557

NPI assigned

Apr 27, 2022

Organization subpart

Yes

Parent organization

GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Cohrs

Title

Revenue Cycle Manager

Phone

(715) 847-2558

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gastrointestinal Associates Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
  • NPI 1962663559

  7911073978

  Same PAC ID

Listed as

Gastrointestinal Associates Endoscopy Center LLCCCN 52C0001144

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

Gastrointestinal Associates Endoscopy Center LLC2 organizations share this tax ID, including this one

Part of

Gastrointestinal Associates Endoscopy Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gastrointestinal Associates Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
  • NPI 1962663559
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gastrointestinal Associates Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
  • NPI 1962663559
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Michael Schneeberger, M.D.

  • Gastroenterology Physician
  • Wausau, WI
  • NPI 1982778700
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1508500273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WESTWOOD DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014152",
            "telephone_number": "715-847-2558",
            "fax_number": "715-261-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 BUSINESS PARK DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828837",
            "telephone_number": "877-442-7762",
            "fax_number": "715-847-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "COHRS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "715-847-2558"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate L Frank, PT
• Dana Fredrickson, RN, HNB-BC
• Mitchell Fromm, MFT, BS-HPW
• John R Fuller, MD
• Galena Healthcare LLC
• John P Gauder, MD
• Shannon Gehrke
• Dean D Gerads, DC,DACBOH,DACRB
• Marcella S Gerads, D.C., D.A.B.C.O.
• Amy Herstein Gervasio, PHD

• Ambulatory Surgical Clinic/Center in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.