Organization Active NPI

Marshall El Dorado Endscopy Center

  • Endoscopy Clinic/Center
  • Placerville, CA
National Provider Identifier
1629142708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
ZZZ25449Z Issued in CA
Legal business name
MARSHALL EL DORADO ENDSCOPY CENTER
Practice address
1100 Marshall Way
Attn Karen D Billing
Placerville, CA 95667-6533
Phone
(530) 626-2789
Fax
(530) 626-2833
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Whipple
Title
Ceo
Phone
(530) 622-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X ZZZ25449Z CA Primary

Addresses

Primary practice location

1100 Marshall Way
Attn Karen D Billing
Placerville, CA 95667-6533

Mailing address

1000 Fowler Way Ste 6
Placerville, CA 95667-5738
Phone (530) 626-2789

National Provider Directory

National Provider Directory

Locations

1100 Marshall Way
#D
Placerville, CA 95667
Phone (530) 626-2789

1000 Fowler Way
Ste 6
Placerville, CA 95667
Phone (530) 344-5430

1000 Fowler Way
Placerville, CA 95667
Phone (530) 295-8460

Practitioners & affiliated clinicians

Practitioners 7

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629142708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY STE 6",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-626-2789",
            "fax_number": "530-626-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "address_2": "ATTN KAREN D BILLING",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-2789",
            "fax_number": "530-626-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL EL DORADO ENDSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-622-1441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "ZZZ25449Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.