The Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

FSOF-9 Issued in HI

Legal business name

THE ENDOSCOPY CENTER, LLC

Practice address

134 Puuhonu Way
Hilo, HI 96720-2067

Phone

(808) 969-3973

Fax

(808) 935-7657

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jody A Montell

Title

Administrator

Phone

(808) 935-1956

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659444131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 PUUHONU WAY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202067",
            "fax_number": "808-935-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PUUHONU WAY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202067",
            "telephone_number": "808-969-3973",
            "fax_number": "808-935-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTELL",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-935-1956",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "HI",
            "license": "FSOF-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "24549-8",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55158201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manfred Tejerina, DO
• Crystal Rebecca Tereszkiewicz
• Ariel Tergeoglou, LMT
• Laura Teves
• Kristen Adrianna Thario
• The Salvation Army (The Salvation Army - Family Intervention Svcs)
• Jeanmarie Rose Theine
• Brian Thielen
• Kayla Dawn Thomas, DO
• Miranda Thomas

• Ambulatory Surgical Clinic/Center in Hilo, HI
• Providers in Hilo, HI by specialty
• Ambulatory Surgical Clinic/Center in Hawaii

• 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.