NPIMap

Organization Active NPI

Wellspan Endoscopy Center LLC

Doing business as WellSpan Endoscopy Center at Barrett Boulevard

  • Endoscopy Clinic/Center
  • Ephrata, PA
National Provider Identifier
1861268559
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
WELLSPAN ENDOSCOPY CENTER LLC
Doing business as
WellSpan Endoscopy Center at Barrett Boulevard
Practice address
4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone
(717) 859-5160
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Andrew Walker
Title
VP
Phone
(859) 250-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

4150 Barrett Blvd
Ephrata, PA 17522-8979

Mailing address

601 Memory LN
York, PA 17402-2231

Other names 1

  • WellSpan Endoscopy Center at Barrett Boulevard Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508004035 PA Part B Supplier - Ambulatory Surgical Center 5890136857 Practice locations: Ephrata, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wellspan Endoscopy Center Dba Wellspan Endoscopy Center at Barrett BlvdCCN 39C0001390
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2300002Wellspan Endoscopy Ctr at Barrett Blvd4150 Barrett Blvd, Ephrata, PA 17522Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

4150 Barrett Blvd
Ste 100
Ephrata, PA 17522
Phone (717) 859-5160

Practitioners & affiliated clinicians

Practitioners 101

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.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1861268559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 BARRETT BLVD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228979",
            "telephone_number": "717-859-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "859-250-5720"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Endoscopy Center at Barrett Boulevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.