Active NPI
Ocala Endoscopy ASC LP
Doing business as Endoscopy Center of Ocala
- Ambulatory Surgical Clinic/Center
- Ocala, FL
National Provider Identifier
1689646937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 977
- Legal business name
- OCALA ENDOSCOPY ASC LP
- Doing business as
- Endoscopy Center of Ocala
- Practice address
- 1160 SE 18TH PL
Ocala, FL 34471-5422 - Phone
- (352) 732-8905
- Fax
- (352) 732-2440
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Snodgrass
- Title
- President
- Phone
- (615) 665-1283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 977 | FL | Primary |
Addresses
Primary practice location
1160 SE 18TH PL
Ocala, FL 34471-5422
Mailing address
1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 240-3820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0791130-00 | Medicaid | FL |
Other names 1
- Endoscopy Center of Ocala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050601000359 | FL | Part B Supplier - Ambulatory Surgical Center | 3375585284 | Practice locations: Ocala, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Endoscopy Center of Ocala
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0870415 | Endoscopy Center of Ocala | Compliance | Sep 16, 2027 |
| 10D0944568 | Ocala Endoscopy ASC LP,the | Certificate of waiver | Apr 14, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1689646937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1A BURTON HILLS BLVD # L&C",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156187",
"telephone_number": "615-240-3820",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 SE 18TH PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344715422",
"telephone_number": "352-732-8905",
"fax_number": "352-732-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCALA ENDOSCOPY ASC LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "SNODGRASS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-665-1283",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0791130-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Endoscopy Center of Ocala",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Endoscopy Center of Ocala",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.