Outpatient Endoscopy & Surgi Center

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

122345 Issued in MI

Legal business name

OUTPATIENT ENDOSCOPY & SURGI CENTER

Practice address

28300 Harper Ave
St Clair Shores, MI 48081-1686

Phone

(586) 778-6090

Fax

(586) 778-1943

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Harivallabh D Pandya, M.D.

Title

President

Phone

(586) 778-6090

Specialties & licenses 1

Addresses

Tax ID family

Outpatient Endoscopy Surgi Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Outpatient Endoscopy & Surgi Center

  • Ambulatory Surgical Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1053439117
  NPD tax ID

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1891742748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28300 HARPER AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811686",
            "telephone_number": "586-778-6090",
            "fax_number": "586-778-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28300 HARPER AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811686",
            "telephone_number": "586-778-6090",
            "fax_number": "586-778-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT ENDOSCOPY & SURGI CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "HARIVALLABH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-778-6090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "MI",
            "license": "122345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ostaszewski
• Catherine Jane Oster-Kostuch, D.C.
• Rachel Osterhout
• Karen Ostrowski-Thomas, OTR
• Outpatient Endoscopy & Surgi Center
• Kayla Pacic, MA
• Paul Padesky, M.D.
• Katie Alyssa Padula, M.A
• Kelly Page, LPN
• Dana Marie Paglia-King

• Endoscopy Clinic/Center in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Endoscopy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.