Lake Jackson Endoscopy Center, LP.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAKE JACKSON ENDOSCOPY CENTER, LP.

Practice address

219 Oak Dr S
Lake Jackson, TX 77566-5675

Phone

(979) 297-4033

Fax

(979) 297-0099

NPI assigned

Nov 17, 2014

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William H Sweatt, M.D.NPI 1255330445

Title

President

Phone

(979) 297-4033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Lake Jackson Endoscopy CenterCCN 45C0001586

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William H Sweatt, M.D.

  • Gastroenterology Physician
  • Lake Jackson, TX
  • NPI 1255330445
  NPD (past) Authorized official
• Regina Marie Washington, FNP- BC

  • Family Nurse Practitioner
  • Angleton, TX
  • NPI 1134720915
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1700282852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 OAK DR S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665675",
            "telephone_number": "979-297-4033",
            "fax_number": "979-297-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 OAK DR S",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665675",
            "telephone_number": "979-297-4033",
            "fax_number": "979-297-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JACKSON ENDOSCOPY CENTER, LP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SWEATT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-297-4033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Jackson Chiropractic and Rehab PC
• Lake Jackson Clinic, P.a.
• Lake Jackson Dental Care P.a.
• Lake Jackson Dialysis and Kidney Center, LTD, LLP
• Lake Jackson Emergency Medical Services, Inc.
• Lake Jackson Family Dentistry PLLC
• Lake Jackson Imaging Center
• Lake Jackson Operations, LLC (Elmcroft of Lake Jackson)
• Lake Jackson Oral and Maxillofacial Surgery, PLLC
• Lake Jackson Pediatric Speech PLLC

• Ambulatory Surgical Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.