Advanced Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

ADVANCED ENDOSCOPY CENTER, LLC

Practice address

2415 NE 134TH St
Suite #205
Vancouver, WA 98686-3025

Phone

(360) 576-5060

Fax

(360) 576-1133

NPI assigned

Aug 6, 2009

Last updated

Mar 4, 2026By 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

Stephen Shawn Barton

Title

Revenue Cycle - NW

Phone

(503) 381-8317

Specialties & licenses 1

Addresses

Other names 2

• Advanced Endoscopy Center, PLLC Former legal business name
• Kaiser Permanente Salmon Creek Surgery Center Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Advanced Endoscopy Center PLLCCCN 50C0001292

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kaiser Foundation Health Plan of the Northwest

  dba Interstate Radiation Oncology

  • Radiation Oncology Clinic/Center
  • Portland, OR
  • NPI 1093043424

  Member Of

  NPD member

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.

• Samuel Sim, MD

  • Gastroenterology Physician
  • Bristol, TN
  • NPI 1275633844
  NPD
• Frank Yeh, MD

  • Gastroenterology Physician
  • Clackamas, OR
  • NPI 1710102959
  NPD

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1619108669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863032",
            "telephone_number": "800-813-2000",
            "fax_number": "855-524-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST",
            "address_2": "SUITE #205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025",
            "telephone_number": "360-576-5060",
            "fax_number": "360-576-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "REVENUE CYCLE - NW",
        "authorized_official_telephone_number": "503-381-8317"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "500 NE Multnomah St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972322023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Endoscopy Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kaiser Permanente Salmon Creek Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Endoscopy Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Endoscopy Clinic/Center in Washington

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