Organization Active NPI

The Northern NV Endoscopy ASC LLC

Doing business as Digestive Health Center

  • Ambulatory Surgical Clinic/Center
  • Reno, NV
National Provider Identifier
1740254572
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
470ASC-12 Issued in NV
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2004701OtherNVPALMETTO GBA-TRICARE
100503331MedicaidNV

Other names 1

  • Digestive Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 29C0001026
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2017728Digestive Health Center5250 Kietzke LN, Reno, NV 89511Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.