Active NPI
The Northern NV Endoscopy ASC LLC
Doing business as Digestive Health Center
- Ambulatory Surgical Clinic/Center
- Reno, NV
National Provider Identifier
1740254572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 470ASC-12
- Legal business name
- THE NORTHERN NV ENDOSCOPY ASC LLC
- Doing business as
- Digestive Health Center
- Practice address
- 5250 Kietzke LN
Reno, NV 89511-2037 - Phone
- (775) 829-8855
- Fax
- (775) 829-3752
- NPI assigned
- Feb 16, 2006
- Last updated
- Sep 26, 2022
- 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 | 470ASC-12 | NV | Primary |
Addresses
Primary practice location
5250 Kietzke LN
Reno, NV 89511-2037
Mailing address
1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 665-1283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004701 | Other | NV | PALMETTO GBA-TRICARE |
| 100503331 | Medicaid | NV |
Other names 1
- Digestive Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040214000176 | NV | Part B Supplier - Ambulatory Surgical Center | 7012801582 | Practice locations: Reno, NV |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Digestive Health Center
- 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 |
|---|---|---|---|
| 29D2017728 | Digestive Health Center | Certificate of waiver | Dec 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
5250 Kietzke Ln
Reno, NV 89511
Phone (702) 829-7600
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Gastroenterology Physician
- Reno, NV
- NPI 1457315764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1740254572",
"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": "615-665-1283",
"fax_number": "615-234-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 KIETZKE LN",
"city": "RENO",
"state": "NV",
"postal_code": "895112037",
"telephone_number": "775-829-8855",
"fax_number": "775-829-3752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NORTHERN NV ENDOSCOPY ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-16",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"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": "NV",
"license": "470ASC-12",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA-TRICARE",
"identifier": "2004701",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503331",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Digestive Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Digestive Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.