NPIMap

Organization Active NPI

The Endoscopy Center of West Central Ohio, LLC

  • Ambulatory Surgical Clinic/Center
  • Lima, OH
National Provider Identifier
1578745568
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1685871 Issued in OH
Legal business name
THE ENDOSCOPY CENTER OF WEST CENTRAL OHIO, LLC
Practice address
2793 Shawnee Road
Lima, OH 45806
Phone
(419) 879-3636
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Mary Verhoff
Title
Administrator
Phone
(419) 879-3636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1685871 OH Primary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

2793 Shawnee Road
Lima, OH 45806

Mailing address

2793 Shawnee Rd
Lima, OH 45806-1444
Phone (419) 879-3636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000066 OH Part B Supplier - Ambulatory Surgical Center 8628130176 Receives reassigned benefits from 10 practitioners
Practice locations: Lima, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Endoscopy Center of West Central Ohio LLCCCN 36C0001243
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
36D1077997Endoscopy Center of West Central Ohio LLC, the2793 Shawnee Road, Lima, OH 45806Certificate of waiverDec 25, 2027

National Provider Directory

National Provider Directory

Locations

33151 Collection Ctr Dr
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1578745568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061444",
            "telephone_number": "419-879-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 SHAWNEE ROAD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45806",
            "telephone_number": "419-879-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOSCOPY CENTER OF WEST CENTRAL OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "VERHOFF",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-879-3636"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "1685871",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.