Rockville MD Endoscopy ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A1192R Issued in MD

Legal business name

ROCKVILLE MD ENDOSCOPY ASC LLC

Practice address

15005 Shady Grove Rd
Suite 200
Rockville, MD 20850-6340

Phone

(301) 340-8099

Fax

(301) 340-8535

NPI assigned

Feb 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• Gastrointestinal Endoscopy Associates (GIEA) Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Listed as

Gastrointestinal Endoscopy Associates LLCCCN 21C0001192

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1871568329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506340",
            "telephone_number": "301-340-8099",
            "fax_number": "301-340-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE MD ENDOSCOPY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1192R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastrointestinal Endoscopy Associates (GIEA)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gastrointestinal Endoscopy Associates (GIEA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rockville Gastroenterology and Hepatology
• Rockville Geriatrics and Palliative Medicine, LLC
• Rockville Gynecology LLC
• Rockville Inpatient Specialist LLC
• Rockville Internal Medicine Group
• Rockville Medical and Disc Center LLC
• Rockville Medical and Disc Center LLC
• Rockville Medical and Disc Center, LLC
• Rockville Medical Care LLC
• Rockville Nursing Home, Inc.

• Ambulatory Surgical Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.