NCBH Outpatient Endoscopy Center, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.

Doing business as

Wake Forest Baptist Health Outpatient Endoscopy - Quaker Lane

Practice address

624 Quaker LN Ste C106
High Point, NC 27262-3832

Phone

(336) 885-1400

NPI assigned

Feb 17, 2021

Organization subpart

Yes

Parent organization

NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.As reported in NPPES

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

Authorized official

Name

Mr. Michael Thomas Waid

Title

Exec VP Health System Affairs

Phone

(336) 716-8021

Specialties & licenses 2

Addresses

Other names 1

• Wake Forest Baptist Health Outpatient Endoscopy - Quaker Lane Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• NCBH Outpatient Endoscopy Center, L.L.C.

  dba NCBH Outpatient Endoscopy Center, LLC (Charlois Blvd)

  • Ambulatory Surgical Clinic/Center
  • Winston Salem, NC
  • NPI 1215263082

  6901933217

  Same PAC ID

Listed as

Wake Forest Baptist Health Outpatient Endoscopy Quaker LaneCCN 34C0001045

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

Tax ID family

NCBH Outpatient Endoscopy Center LLC2 organizations share this tax ID, including this one

Part of

NCBH Outpatient Endoscopy Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NCBH Outpatient Endoscopy Center, L.L.C.

  dba NCBH Outpatient Endoscopy Center, LLC (Charlois Blvd)

  • Ambulatory Surgical Clinic/Center
  • Winston Salem, NC
  • NPI 1215263082
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• North Carolina Baptist Hospital

  dba Winston East Pharmacy

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1881460855

  Member Of

  NPD member
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1134731227

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• NCBH Outpatient Endoscopy Center, L.L.C.

  dba NCBH Outpatient Endoscopy Center, LLC (Charlois Blvd)

  • Ambulatory Surgical Clinic/Center
  • Winston Salem, NC
  • NPI 1215263082
  NPPES parent name

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1750974176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE C106",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-885-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE C106",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623832",
            "telephone_number": "336-885-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NCBH OUTPATIENT ENDOSCOPY CENTER, L.L.C.",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WAID",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXEC VP HEALTH SYSTEM AFFAIRS",
        "authorized_official_telephone_number": "336-716-8021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wake Forest Baptist Health Outpatient Endoscopy - Quaker Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaida Naseem
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Nosaba Naveed, LPCA
• NC Elder Care PLLC
• NC Residential Services, Inc.
• Charlotte Lum Nche, ANP
• Mary Neal, NP
• Taylour Neal, MS, NCC, LCMHC
• Victoria C.D. Neave, MD
• Carolyn Neese, LMFT, CCTP-II

• Ambulatory Surgical Clinic/Center in High Point, NC
• Providers in High Point, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.