Durbin Crossing Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DURBIN CROSSING ENDOSCOPY CENTER LLC

Doing business as

Durbin Crossing Endoscopy Center

Practice address

150 Longleaf Pine Pkwy
St Johns, FL 32259-7529

Phone

(469) 872-4706

NPI assigned

Mar 25, 2024

Last updated

Mar 13, 2025By 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

Collin Lemaistre

Title

Officer/Authorized Official

Phone

(214) 213-0732

Specialties & licenses 1

Addresses

Other names 1

• DURBIN CROSSING ENDOSCOPY CENTER Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Durbin Crossing Endoscopy Center LLCCCN 10C0001749

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 1

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

• VHS San Antonio Partners, LLC

  dba Westover Hills Baptist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1831970532

  Member Of

  NPD member

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1871343681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LONGLEAF PINE PKWY STE 100",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322597529",
            "telephone_number": "904-664-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LONGLEAF PINE PKWY",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322597529",
            "telephone_number": "469-872-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURBIN CROSSING ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "LEMAISTRE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-213-0732"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DURBIN CROSSING ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DURBIN CROSSING ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Dixon Hathcock, LMHC
• Yelena R Dorrian, PHARMD
• Claudy Dorsainville
• DRS. McClow, Clark & Berk PA (MCB Radiology)
• Duncan Health Direct, P.a.
• Durbin Park Hospital, Inc.
• Bentley Dusablon
• Elaine Dusetzina
• Dylan's Kids. LLC (Brain Balance Center of Jacksonville)
• Brittany Leigh Dyr, MS, LCGC

• Ambulatory Surgical Clinic/Center in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.