Advanced Endoscopy Center of Howard County, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

A1343 Issued in MD

Legal business name

ADVANCED ENDOSCOPY CENTER OF HOWARD COUNTY, LLC

Practice address

8875 Centre Park Dr
Ste D
Columbia, MD 21045-2114

Phone

(410) 730-1000

Fax

(410) 730-2266

NPI assigned

Mar 20, 2007

Last updated

Mar 12, 2008By 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

Dr. Russell O Schub, DONPI 1679583587

Title

Physician Owner

Phone

(410) 730-1000

Specialties & licenses 1

Addresses

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.

• Russell Owen Schub, D.O.

  • Gastroenterology Physician
  • Columbia, MD
  • NPI 1679583587
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1831214717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 CENTRE PARK DR",
            "address_2": "STE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452114",
            "telephone_number": "410-730-1000",
            "fax_number": "410-730-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 CENTRE PARK DR",
            "address_2": "STE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452114",
            "telephone_number": "410-730-1000",
            "fax_number": "410-730-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ENDOSCOPY CENTER OF HOWARD COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHUB",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "410-730-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MD",
            "license": "A1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endoscopy Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Endoscopy Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.