Northglenn Endoscopy Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHGLENN ENDOSCOPY CENTER LLC

Practice address

11900 Grant Street
#320
Northglenn, CO 80233

Phone

(303) 604-5000

Fax

(720) 890-0364

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Daus Mahnke, MDNPI 1306878566

Title

Board Memeber

Phone

(303) 604-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Listed as

Northglenn Endoscopy Center LLCCCN 06C0001157

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

Locations

Practitioners 7

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

• Daus Mahnke, M.D.

  • Gastroenterology Physician
  • Lafayette, CO
  • NPI 1306878566
  NPD Authorized official
• Matthew Seto, D.O.

  • Gastroenterology Physician
  • Lakewood, CO
  • NPI 1003163486
  NPD
• Robert P. Dolan, M.D.

  • Gastroenterology Physician
  • Avon, CO
  • NPI 1558396614
  NPD (past)
• David Gatof, M.D.

  • Gastroenterology Physician
  • Longmont, CO
  • NPI 1881613305
  NPD (past)
• Marissa Erin Moritz-Guzik, MS, PA-C

  • Physician Assistant
  • Louisville, CO
  • NPI 1457669772
  NPD (past)
• Richard H. Moseley, M.D.

  • Gastroenterology Physician
  • Boulder, CO
  • NPI 1447343843
  NPD (past)
• Emily K Ward, M.D.

  • Gastroenterology Physician
  • Boulder, CO
  • NPI 1093927055
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1962958223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 GRANT STREET",
            "address_2": "#320",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGLENN ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "MAHNKE",
        "authorized_official_first_name": "DAUS",
        "authorized_official_title_or_position": "BOARD MEMEBER",
        "authorized_official_telephone_number": "303-604-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000154492",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northglenn Ambulance, Inc.
• Northglenn Ambulance, Inc.
• Northglenn Assisted Living (Northglenn Heights)
• Northglenn Dental PLLC
• Northglenn Dentistry and Orthodontics PLLC
• Northglenn Grin Ortho, PLLC (GRiN Orthodontics of Northglenn)
• Northglenn Operations, LLC (Avamere Transitional Care and Rehabilitation-Malley)
• Northglenn Operations, LLC
• Northglenn Operations, LLC (Avamere Transitional Care and Rehabilitation-Malley)
• Northglenn Optometric Center, P.C.

• Ambulatory Surgical Clinic/Center in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Ambulatory Surgical Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.