Saint Vincent Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAINT VINCENT ENDOSCOPY CENTER LLC

Practice address

2501 W 12TH St
Suite 8
Erie, PA 16505-4527

Phone

(215) 589-9000

Fax

(215) 589-9030

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Karen P Sablyak

Title

Treasurer

Phone

(215) 589-9001

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Saint Vincent Health Center

  • Psychiatric Hospital Unit
  • Erie, PA
  • NPI 1316975626

  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.

• Segun E Abogunde, MD

  • Gastroenterology Physician
  • Erie, PA
  • NPI 1659302669
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1669647210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415357",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415357",
            "telephone_number": "215-589-9000",
            "fax_number": "215-589-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 12TH ST",
            "address_2": "SUITE 8",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054527",
            "telephone_number": "215-589-9000",
            "fax_number": "215-589-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SABLYAK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "215-589-9001"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC ACCREDITATION",
            "identifier": "82192",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246794 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Mary's Home of Erie (Dba Saint Mary's East)
• Saint Mary's Home of Erie (Dba Saint Mary's at Asbury Ridge)
• Saint Vincent Affiliated Physicians
• Saint Vincent Consultants in Cardiovascular Diseases
• Saint Vincent Diabetes Resource Outpatient Nutrition Center
• Saint Vincent Health Center (Saint Vincent Behavioral Services)
• Saint Vincent Health Center
• Saint Vincent Health Center
• Saint Vincent Health Center
• Saint Vincent Health Center

• Ambulatory Surgical Clinic/Center in Erie, PA
• Providers in Erie, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.