Endoscopy Center of Southeast Massachusetts LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

63138 Issued in MA

Legal business name

ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC

Practice address

1 Pearl St
St 1200
Brockton, MA 02301-2864

Phone

(508) 588-3174

Fax

(508) 588-3179

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Marcia M Issa

Title

Office Manager

Phone

(508) 588-3174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1861501835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "ST 1800",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "508-588-3174",
            "fax_number": "508-588-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "ST 1200",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012864",
            "telephone_number": "508-588-3174",
            "fax_number": "508-588-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-588-3174"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": "63138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Emmanuel
• Wecjard Emmanuel
• Alan Emond, M.ED
• Empire Vision Center Inc
• Freya S Emspak, MD
• Ellen Elizabeth Endres, RNP
• Anna Ganczewski Engel, MD
• Yleis Engerman
• Dawn Enos
• Elaine Ruth Enos, LADC

• Ambulatory Surgical Clinic/Center in Brockton, MA
• Providers in Brockton, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.