Dubuque Endoscopy Center LC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DUBUQUE ENDOSCOPY CENTER LC

Practice address

1515 Delhi St
Ste 500
Dubuque, IA 52001-6320

Phone

(563) 589-4060

Fax

(563) 589-4062

NPI assigned

Apr 20, 2006

Last updated

Mar 19, 2012By 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

Michael J. Berg

Title

Administrator

Phone

(563) 589-4057

Specialties & licenses 1

Addresses

Listed as

Dubuque Endoscopy Center LCCCN 16C0001020

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 2

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

• Dubuque Internal Medicine PC

  dba Grand River Medical Group, PC

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1568427524

  Member Of

  NPD member
• The Finley Hospital

  dba Unitypoint Health - Finley Hosptial

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Ian M. Koontz, M.D.

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1205805199
  NPD (past)
• Arjun Krishna Ramesh, M.D.

  • Interventional Pain Medicine Physician
  • Dubuque, IA
  • NPI 1487034419
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1841255775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "STE 500",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-589-4060",
            "fax_number": "563-589-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "STE 500",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-589-4060",
            "fax_number": "563-589-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE ENDOSCOPY CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-589-4057"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dubuque Dental Associates
• Dubuque Dental Enterprises, PLLC
• Dubuque Dermatology P.C.
• Dubuque Emergency Physicians PC
• Dubuque Endodontics, PC
• Dubuque ENT Head & Neck Surgery P.C.
• Dubuque Family Chiropractic P.L.L.C.
• Dubuque Family Eye Care PC
• Dubuque Family Practice, PC
• Dubuque Internal Medicine PC (Tri-State Dialysis Dubuque)

• Ambulatory Surgical Clinic/Center in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.