Shenandoah TX Endoscopy ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008420 Issued in TX

Legal business name

SHENANDOAH TX ENDOSCOPY ASC LLC

Practice address

111 Vision Park Blvd Ste 160
Shenandoah, TX 77384-3005

Phone

(936) 321-8910

Fax

(615) 234-1720

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey E Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodlands Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Woodlands Endoscopy CenterCCN 45C0001457

Medicare certification status

ActiveFrom the Provider of Services file

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Woodlands Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Shenandoah, TX
  • NPI 1093283970

  Member Of

  NPD member

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1619065273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-263-5391",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VISION PARK BLVD STE 160",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843005",
            "telephone_number": "936-321-8910",
            "fax_number": "615-234-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH TX ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00476562",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlands Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaun S. Varghese, M.D., PLLC
• Kevin Lu Shen, MD
• Shenandoah Imaging, LP
• Shenandoah Surgical Associates LLC
• Shenandoah TX Endoscopy ASC LLC
• Jason Wayne Sherrell, DMD
• Sokuntheary Kep Sherwani, AGACNP-BC
• Christine Shiang
• Page A Shields
• Summer Renee Shields, AGACNP-BC

• Ambulatory Surgical Clinic/Center in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.