Endoscopy Center of the Rockies LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENDOSCOPY CENTER OF THE ROCKIES LLC

Practice address

1551 Professional LN Ste 295
Longmont, CO 80501-6972

Phone

(303) 604-5000

NPI assigned

Oct 8, 2008

Last updated

Oct 4, 2021By 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

Daus MahnkeNPI 1306878566

Title

Board Member

Phone

(303) 604-5000

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Endoscopy Center of the Rockies LLC

  • Ambulatory Surgical Clinic/Center
  • Boulder, CO
  • NPI 1558526293

  O20040331000229

  Same enrollment
• Endoscopy Center of the Rockies LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, CO
  • NPI 1700807617

  O20040331000229

  Same enrollment

Listed as

Endoscopy Center of the Rockies LLCCCN 06C0001076

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

Member of 1

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

• Boulder Community Health

  dba Community Medical Center

  • Emergency Care Clinic/Center
  • Lafayette, CO
  • NPI 1669020731

  Member Of

  NPD member

Locations

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.

• Daus Mahnke, M.D.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1306878566
  Authorized official Same address or phone

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1811148869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN STE 295",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016972",
            "telephone_number": "303-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF THE ROCKIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "MAHNKE",
        "authorized_official_first_name": "DAUS",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "303-604-5000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95055011",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005424",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "EN64670",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergence Counseling & Wellness PLLC
• Emergency Physicians of the Rockies, PC
• Empathic Connections Psychotherapy, LLC
• Marae Encinias
• Allisha K Enck, OTD
• Endurance Sports Performance and Rehabilitation, Inc
• David Engele
• Colleen Enright, MA, LPC, NCC, SEPC
• Ainsley Grace Epperly
• Juliette Anne Epstein, RN

• Ambulatory Surgical Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.