Samaritan Endoscopy LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071575 Issued in OR

Legal business name

SAMARITAN ENDOSCOPY LLC

Practice address

3509 NW Samaritan Drive
Suite 201
Corvallis, OR 97330-3766

Phone

(541) 768-4260

Fax

(541) 768-4261

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Steven W. Jasperson

Title

Ceo

Phone

(541) 768-5009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Samaritan Endoscopy LLCCCN 38C0001076

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.

• Good Samaritan Hospital Corvallis

  • Community/Retail Pharmacy
  • Corvallis, OR
  • NPI 1427497569

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory David Schwartz, MD

  • Specialist
  • Corvallis, OR
  • NPI 1760423289
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1649327008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 NW SAMARITAN DRIVE",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303766",
            "telephone_number": "541-768-4260",
            "fax_number": "541-768-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 NW SAMARITAN DRIVE",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303766",
            "telephone_number": "541-768-4260",
            "fax_number": "541-768-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "JASPERSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-768-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Salinas, RN
• Rachel Hannah Salmon
• Marydale G Salston, PH.D., LMFT
• Samaritan Chiropractic LLC
• Samaritan Dialysis Services LLC
• Samaritan Health Services
• Samaritan Health Services, Inc.
• Samaritan Heart of the Valley
• Samaritan Integrative Medicine, LLC
• Samaritan Medical Supplies LLC

• Ambulatory Surgical Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.