Clarksville Endoscopy Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

0000000069 Issued in TN

Legal business name

CLARKSVILLE ENDOSCOPY CENTER

Practice address

132 Hillcrest Dr
Clarksville, TN 37043-5000

Phone

(931) 552-0180

Fax

(931) 572-0915

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edwin C Glassell, MD

Title

MD

Phone

(931) 552-0180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edwin C Glassell Other name

Member of 1

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

• Clarksville Health System, LLC

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1821082702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435000",
            "telephone_number": "931-552-0180",
            "fax_number": "931-572-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435000",
            "telephone_number": "931-552-0180",
            "fax_number": "931-572-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "GLASSELL",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "931-552-0180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TN",
            "license": "0000000069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287635",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin C Glassell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clarksville Dental Center- St B
• Clarksville Dental Center, PLLC
• Clarksville Dental Group PLLC
• Clarksville Dental Spa, PLLC
• Clarksville Dentures and Implants
• Clarksville Endoscopy Center LLC
• Clarksville Eye Clinic LLC
• Clarksville Eye Surgery Center
• Clarksville Family Chiropractic
• Clarksville Family Therapy

• Endoscopy Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Endoscopy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.