South Meadows Endoscopy Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTH MEADOWS ENDOSCOPY CENTER, LLC

Practice address

10619 Professional Cir
Reno, NV 89521-5831

Phone

(775) 852-4848

Fax

(775) 850-5763

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Halterman, M.D .

Title

Medical Director

Phone

(775) 329-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

South Meadows Endoscopy Center LLCCCN 29C0001064

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Martin Osgard, M.D.

  • Gastroenterology Physician
  • Reno, NV
  • NPI 1457368565
  NPD
• Ting-Hui Hsieh, M.D.

  • Gastroenterology Physician
  • Reno, NV
  • NPI 1326234667
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1851444079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842681",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900842660",
            "telephone_number": "775-329-4600",
            "fax_number": "775-324-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 PROFESSIONAL CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215831",
            "telephone_number": "775-852-4848",
            "fax_number": "775-850-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MEADOWS ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "HALTERMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-329-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D ."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512981",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Soukup, M.S., CCC-SLP
• Jnaey A. Soule, MD
• James A Soumbeniotis, OD
• Anthony Sousa
• South McCarran Urgent Care
• South Virginia Walk-in Clinic, LLC
• Brant Michael Southam, O.D.
• Taylor Michael Souza, PT
• Kesamyn Sovulewski, LCPC, LCADC
• Sowing Hope LLC

• Ambulatory Surgical Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.