American Endoscopy Center, P.C.
Organization Active NPI Ambulatory Surgical Clinic/Center · Madison, TN
NPI 1528053311 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1528053311
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 160 (TN)
- Legal business name
- AMERICAN ENDOSCOPY CENTER, P.C.
- Practice address
- 1308 Briarville Rd
Madison, TN 37115-5127 - Phone
- (615) 868-3131
- Fax
- (615) 515-0205
- NPI assigned
- Sep 17, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Mene Sugage Zua, M.D.
- Title
- Medical Director
- Phone
- (615) 868-3131
Practitioners 1
-
Mene Sugage Zua, MD
Medicare Care Compare: Ambulatory surgical center
- Listed as
- American Endoscopy Center PC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1025918 | American Endoscopy Center, PC | Certificate of waiver | May 20, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050228000639 | TN | Part B Supplier - Ambulatory Surgical Center | 7012960271 | Practice locations: Madison, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 160 | TN | Yes |
Addresses
Primary practice location
1308 Briarville Rd
Madison, TN 37115-5127
Mailing address
1308 Briarville Rd
Madison, TN 37115-5127
Phone (615) 868-3131
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3739615 | Medicaid | TN |
Other providers in Madison, TN
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- American Current Care, P.a.
- An Angel Care, LLC
- Anna Anderson
- Billie Jean Anderson
- Rachel Anderson
- Andrew Andreotta
All providers in Madison, TN · Ambulatory Surgical Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.