Westerville Endoscopy Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

WESTERVILLE ENDOSCOPY CENTER LLC

Practice address

300 Polaris Pkwy
Suite 1500
Westerville, OH 43082-7989

Phone

(614) 917-1670

Fax

(614) 947-3991

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tasos Manokas, DONPI 1558315382

Title

President

Phone

(614) 458-1183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Westerville Endoscopy Center LLCCCN 36C0001283

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.

• Ohiohealth Corporation

  dba Grant Medical Center

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tasos Manokas, DO

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1558315382
  NPD Authorized official
• Gordon Young Kim, D. O.

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1144260076
  NPD (past)
• Adam Charles Tzagournis, MD

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1003863440
  NPD (past)
• John Paul Tzagournis, M.D.

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1508818998
  NPD (past)
• Michael Andrew Tzagournis, MD

  • Gastroenterology Physician
  • Columbus, OH
  • NPI 1639121106
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1881035509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY",
            "address_2": "SUITE 1500",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-568-1666",
            "fax_number": "614-568-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY",
            "address_2": "SUITE 1500",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-917-1670",
            "fax_number": "614-947-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "MANOKAS",
        "authorized_official_first_name": "TASOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-458-1183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westerville Counseling and Wellness
• Westerville Dental Associates Brian C Stickel DDS Inc
• Westerville Dental Associates LLC - Sue Y Choi DDS & Yuchan K Son DDS (Westerville Dental Associates)
• Westerville Dental Studio
• Westerville Dermatology, Inc.
• Westerville Eyecare Inc
• Westerville Facility Operations, LLC (Edgewood Manor of Westerville)
• Westerville Family Physicians, Inc
• Westerville Healthcare LLC
• Westerville Internal Medicine LLC

• Endoscopy Clinic/Center in Westerville, OH
• Providers in Westerville, OH by specialty
• Endoscopy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.