NPIMap

Organization Active NPI

Four Seasons Endoscopy Center Inc

  • Endoscopy Clinic/Center
  • Beaver Falls, PA
National Provider Identifier
1932153459
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
FOUR SEASONS ENDOSCOPY CENTER INC
Practice address
100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone
(724) 891-2100
Fax
(724) 891-2734
NPI assigned
May 20, 2006
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Sean Adam Connelly, D.O.NPI 1043494081
Title
Medical Director
Phone
(724) 891-2100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X Primary

Addresses

Primary practice location

100 Knowlson Ave
Beaver Falls, PA 15010-1634

Mailing address

100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone (724) 891-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000534 PA Part B Supplier - Ambulatory Surgical Center 7618026071 Receives reassigned benefits from 9 practitioners
Practice locations: Beaver Falls, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Four Seasons Endoscopy Center IncCCN 39C0001103
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

100 Knowlson Ave
Beaver Falls, PA 15010
Phone (724) 891-2100

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1932153459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-891-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.