Tallahassee Endoscopy Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

749 Issued in FL

Legal business name

TALLAHASSEE ENDOSCOPY CENTER INC

Practice address

2400 Miccosukee Rd
Tallahassee, FL 32308-5314

Phone

(850) 205-8404

Fax

(850) 216-1321

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Charlotte L Madani

Title

Business Office Manager

Phone

(850) 205-8404

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Tallahassee Endoscopy CenterCCN 10C0001141

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 4

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

• Sheila Hilson

  • Physician Office Based Coding Specialist
  • Tallahassee, FL
  • NPI 1053558726
  NPD
• Andres F Rodriguez, M. D.

  • Gastroenterology Physician
  • Tallahassee, FL
  • NPI 1477503480
  NPD
• Hardeep Singh, M. D.

  • Gastroenterology Physician
  • Tallahassee, FL
  • NPI 1104876127
  NPD
• Joshua D Somerset, M. D.

  • Gastroenterology Physician
  • Tallahassee, FL
  • NPI 1609827914
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1740201607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085314",
            "telephone_number": "850-205-8404",
            "fax_number": "850-216-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085314",
            "telephone_number": "850-205-8404",
            "fax_number": "850-216-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "MADANI",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "850-205-8404"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "61E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAID NUMBER",
            "identifier": "07069900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR PROVIDER NUMBER",
            "identifier": "490001580",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Diagnostic Imaging LTD
• Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a.
• Tallahassee Endocrine Associates
• Tallahassee Endocrinology and Diabetes Clinic LLC
• Tallahassee Endodontics
• Tallahassee Enhanced Care PA
• Tallahassee Facial Pain Center PA
• Tallahassee Facility Operations LLC
• Tallahassee Family Clinic, LLC
• Tallahassee GYN-Oncology LLC

• All providers in Tallahassee, FL
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.