Active NPI
Arizona Endoscopy Center, LLC
- Ambulatory Surgical Clinic/Center
- Phoenix, AZ
National Provider Identifier
1760445928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OSC-2440
- Legal business name
- ARIZONA ENDOSCOPY CENTER, LLC
- Practice address
- 1410 E McDowell Rd
Phoenix, AZ 85006-2937 - Phone
- (602) 716-9655
- Fax
- (602) 716-9659
- NPI assigned
- Apr 10, 2006
- 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 | OSC-2440 | AZ | Primary |
Addresses
Primary practice location
1410 E McDowell Rd
Phoenix, AZ 85006-2937
Mailing address
1A Burton Hills Blvd # L&C
Nashville, TN 37215-6187
Phone (615) 665-1283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060822000462 | AZ | Part B Supplier - Ambulatory Surgical Center | 8224031745 | Practice locations: Phoenix, AZ |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Arizona Endoscopy Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1760445928",
"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": "1410 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062937",
"telephone_number": "602-716-9655",
"fax_number": "602-716-9659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA ENDOSCOPY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"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": "AZ",
"license": "OSC-2440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Arizona Emergency Specialist, PC
- Arizona Endocrinology Center, PLC
- Arizona Endocrinology Center, PLC
- Arizona Endocrinology Center, PLC
- Arizona Endoscopy Center Sedation PLC
- Arizona Facial Plastics, PC
- Arizona Family Clinics Corp
- Arizona Family Health Services LLC
- Arizona Family Research Counseling Center
- Arizona Family Therapy & Wellness Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.