The Endoscopy Center at Gateway LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE ENDOSCOPY CENTER AT GATEWAY LLC

Practice address

490 Northampton Street
Edwardsville, PA 18704

Phone

(570) 288-8100

Fax

(570) 714-2733

NPI assigned

Oct 31, 2006

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin Barry Fried, MDNPI 1205894862

Title

Owner

Phone

(570) 288-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin B Fried, MD

  • Gastroenterology Physician
  • Edwardsville, PA
  • NPI 1205894862
  NPD (past) Authorized official
• Charles Joseph Scrobola, M.D.

  • Gastroenterology Physician
  • Edwardsville, PA
  • NPI 1144321639
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1508942665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON STREET",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-288-8100",
            "fax_number": "570-714-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 NORTHAMPTON STREET",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-288-8100",
            "fax_number": "570-714-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOSCOPY CENTER AT GATEWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-288-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Scrobola, M.D.
• Shelly a Levulis
• Sandra Stagg-Young, LMSW
• Alexis Steeber, OTD, OTR/L, CLT
• Mohammad Khaled Tashkandi, M.D.
• Turosky Chiropractic Clinic
• Turosky Chiropractic Clinic, PC (Turosky Natural Healing Centre)
• John H Turosky, DC
• Vincent B Turosky, DC
• Vna an Affiliate of Wvhcs (VNA Home Health Services)

• Ambulatory Surgical Clinic/Center in Edwardsville, PA
• Providers in Edwardsville, 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 Sep 17, 2008; 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.