Active NPI
Anmed Enterprises Inc - Upstate Endoscopy Center Inc LLC
Doing business as Upstate Endoscopy
- Endoscopy Clinic/Center
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- Legal business name
- ANMED ENTERPRISES INC - UPSTATE ENDOSCOPY CENTER INC LLC
- Doing business as
- Upstate Endoscopy
- Practice address
- 1922B McConnell Springs Rd
Anderson, SC 29621-2642 - Phone
- (864) 716-6555
- Fax
- (864) 716-6599
- NPI assigned
- May 15, 2006
- Last updated
- May 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Wortham, MD
- Title
- MD
- Phone
- (864) 716-6555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU |
Addresses
Primary practice location
1922B McConnell Springs Rd
Anderson, SC 29621-2642
Mailing address
1922B McConnell Springs Rd
Anderson, SC 29621-2642
Phone (864) 716-6555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC055 | Medicaid | SC |
Other names 1
- Upstate Endoscopy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701001336 | SC | Part B Supplier - Ambulatory Surgical Center | 8729065271 | Practice locations: Anderson, SC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Anmed Enterprises Inc Upstate Endoscopy Center Inc LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D1026162 | Upstate Endoscopy Center LLC Dba Upstate Endoscopy | Certificate of waiver | May 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
1922 McConnell Springs Rd
#B
Anderson, SC 29621
Phone (864) 716-6555
1922 McConnell Springs Rd
Ste B
Anderson, SC 29621
Phone (864) 716-6555
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Anderson, SC
- NPI 1437101771
-
- Gastroenterology Physician
- Anderson, SC
- NPI 1023009644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1881645810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922B MCCONNELL SPRINGS RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212642",
"telephone_number": "864-716-6555",
"fax_number": "864-716-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922B MCCONNELL SPRINGS RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212642",
"telephone_number": "864-716-6555",
"fax_number": "864-716-6599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANMED ENTERPRISES INC - UPSTATE ENDOSCOPY CENTER INC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "WORTHAM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "864-716-6555",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ASC055",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Upstate Endoscopy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anderson, SC
- Anesthesia Services Associates PLLC (Comprehensive Pain Specialists)
- Anesthesiology Services of Anderson, PA
- Emma Angona
- Anmed
- Anmed Encompass Health Rehabilitation Hospital, LLC (AnMed Health Rehabilitation Hospital)
- Anmed Health (AnMed)
- Anmed Health (AnMed Primary Care-Family Medicine Residency)
- Anmed Health (AnMed OBGYN - Carolina)
- Anmed Health (AnMed Primary Care - Lakeside)
- Anmed Health (Impressions Appearance Shoppe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.