Dublin Endoscopy Center, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

087-444 Issued in GA

Legal business name

DUBLIN ENDOSCOPY CENTER, LLC

Practice address

111 Fairview Park Dr
Dublin, GA 31021-2501

Phone

(478) 277-1255

Fax

(478) 277-1922

NPI assigned

Apr 30, 2010

Organization subpart

No

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

Authorized official

Name

Ellen K Barr

Title

Administrator

Phone

(478) 272-1366

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1841517893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1925",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401925",
            "telephone_number": "478-277-1255",
            "fax_number": "478-277-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212501",
            "telephone_number": "478-277-1255",
            "fax_number": "478-277-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-272-1366"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "GA",
            "license": "087-444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003114993B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dublin Emergency Physicians LLC
• Dublin Eye Associates, P.C.
• Dublin Eye Surgery Center LLC
• Dublin Gastroenterology Assoc, LLC
• Dublin Health Properties LLC (Dublinair Health & Rehab)
• Dublin Hematology Oncology Care PC

• Endoscopy Clinic/Center in Dublin, GA
• Providers in Dublin, GA by specialty
• Endoscopy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.