Gi Endoscopy Center, Inc

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

071432 Issued in OR

Legal business name

GI ENDOSCOPY CENTER, INC

Doing business as

GI Endoscopy Center

Practice address

2560 NW Medical Park Dr
Roseburg, OR 97470-5510

Phone

(541) 673-2046

Fax

(541) 673-0454

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Deborah D Dixon

Title

Assistant Administrator

Phone

(541) 957-7734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GI Endoscopy Center Doing business as

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639159916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705510",
            "telephone_number": "541-673-2046",
            "fax_number": "541-673-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NW MEDICAL PARK DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705510",
            "telephone_number": "541-673-2046",
            "fax_number": "541-673-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI ENDOSCOPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "541-957-7734"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "OR",
            "license": "071432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007034",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Geyer
• Vicky M Geyer, HAD
• Luul - Ghebrednghil, M.D.
• Kenia Faith Gheer, PSM, RD
• Gi Associates, PC
• Tiffany D Giamanco
• Emily Gibbons
• Bailey Wynn Gibbs, PA-C
• Jennifer M Gibbs, MPT
• Delbert Gibson III

• Endoscopy Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Endoscopy Clinic/Center in Oregon

• 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.