Organization Active NPI

Hillside Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hanover, PA
National Provider Identifier
1871811257
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HILLSIDE ENDOSCOPY CENTER, LLC
Practice address
250 Fame Ave
Suite 240
Hanover, PA 17331-1587
Phone
(717) 633-9086
Fax
(717) 633-9379
NPI assigned
May 11, 2010
Organization subpart
Yes
Parent organization
HILLSIDE PROPERTY HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Dr. Paul Thomas, M.D.
Title
President
Phone
(717) 633-9086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

250 Fame Ave
Suite 240
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 240
Hanover, PA 17331-1587
Phone (717) 633-9086

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hillside Endoscopy Center LLCCCN 39C0001285
Medicare certification status
Terminated Voluntary: merger or closure, Jun 2, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1871811257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 240",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-633-9086",
            "fax_number": "717-633-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 240",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-633-9086",
            "fax_number": "717-633-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSIDE PROPERTY HOLDINGS, LLC",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-633-9086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.