East Mississippi Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST MISSISSIPPI ENDOSCOPY CENTER LLC

Practice address

1926 23Rd Ave
Meridian, MS 39301-3107

Phone

(601) 485-1131

Fax

(601) 485-1336

NPI assigned

Oct 13, 2006

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Boler, RN

Title

Center Director

Phone

(601) 485-1131

Specialties & licenses 1

Addresses

Other identifiers 3

Member of 1

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

• Anderson Regional Medical Center

  dba Baptist Anderson Professional Fees EKG

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1972720167

  Member Of

  NPD member

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.

• William Greg Thaggard, M.D.

  • Gastroenterology Physician
  • Meridian, MS
  • NPI 1114923547
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1780774745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-485-1131",
            "fax_number": "601-485-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013107",
            "telephone_number": "601-485-1131",
            "fax_number": "601-485-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MISSISSIPPI ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BOLER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "601-485-1131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID",
            "identifier": "490003787",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MS PROVIDER ID",
            "identifier": "000050792",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770276",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Warren Durgin, MD
• Eva Nicole Dye
• Bonnie E. Earley, ACNP
• East Central Mississippi Health Network Incorporated (Ec-Healthnet Family Health Center)
• East Mississippi Anesthesia
• East Mississippi Medical Clinic, PLLC
• East Mississippi Oral & Facial Surgery, LLC
• East Mississippi Oral & Facial Surgery, LLC
• East Mississippi State Hospital
• East Mississippi State Hospital (Magnolia Medical Clinic)

• Ambulatory Surgical Clinic/Center in Meridian, MS
• Providers in Meridian, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.