Active NPI
West Palm Beach FL Endoscopy ASC LLC
Doing business as Center for Gastrointestinal Endoscopy
- Ambulatory Surgical Clinic/Center
- West Palm Beach, FL
National Provider Identifier
1609841261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1119
- Legal business name
- WEST PALM BEACH FL ENDOSCOPY ASC LLC
- Doing business as
- Center for Gastrointestinal Endoscopy
- Practice address
- 1117 N Olive Ave
Suite 201
West Palm Beach, FL 33401-3520 - Phone
- (561) 514-0353
- Fax
- (561) 514-0236
- NPI assigned
- Feb 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillip A Clendenin
- Title
- President of LLC
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1119 | FL | Primary |
Addresses
Primary practice location
1117 N Olive Ave
Suite 201
West Palm Beach, FL 33401-3520
Mailing address
1117 N Olive Ave
Suite 201
West Palm Beach, FL 33401-3520
Phone (561) 514-0353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00289060 | Other | FL | RAILROAD MEDICARE |
| 076072200 | Medicaid | FL |
Other names 1
- Center for Gastrointestinal Endoscopy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- West Palm Beach, FL
- NPI 1962504969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1609841261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 N OLIVE AVE",
"address_2": "SUITE 201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013520",
"telephone_number": "561-514-0353",
"fax_number": "561-514-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 N OLIVE AVE",
"address_2": "SUITE 201",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013520",
"telephone_number": "561-514-0353",
"fax_number": "561-514-0236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PALM BEACH FL ENDOSCOPY ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2023-09-07",
"status": "A",
"authorized_official_last_name": "CLENDENIN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT OF LLC",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00289060",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076072200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Gastrointestinal Endoscopy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Palm Beach, FL
- West Coast Dental Partners
- West Palm Beach
- West Palm Beach Center for Reproductive Medicine PA
- West Palm Beach Facility Operations, LLC (Consulate Health Care of West Palm Beach)
- West Palm Beach Family Doctors, Inc
- West Palm Beach Health Care Associates LLC (Renaissance Health and Rehabilitation)
- West Palm Beach MRI, LLC
- West Palm Beach Pharmaceuticals LLC (Access Care Pharmacy)
- West Palm Beach Physiotherapy PLLC (West Palm Physio)
- West Palm Beach VA Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.