Organization Active NPI

West Creek Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Henrico, VA
National Provider Identifier
1972284941
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST CREEK ENDOSCOPY LLC
Practice address
1600 Wilkes Ridge Dr Ste 100
Henrico, VA 23233
Phone
(703) 563-0042
NPI assigned
Jul 31, 2023
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Cheryl Miller
Title
Administrator
Phone
(804) 354-8818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1600 Wilkes Ridge Dr Ste 100
Henrico, VA 23233

Mailing address

1600 Wilkes Ridge Dr
Suite 100
Henrico, VA 23233-7964
Phone (703) 563-0042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031004481 VA Part B Supplier - Ambulatory Surgical Center 3779016571 Practice locations: Henrico, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972284941. Details of each certification follow.

Ambulatory surgical center certification: CCN 49C0001111

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WEST CREEK ENDOSCOPY LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 6, 2025
Last certification
Feb 6, 2025
Ownership / control type
Proprietary
Facility address
1600 Wilkes Ridge Dr Ste 100
Henrico, VA 23233

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2304989West Creek Endoscopy1600 Wilkes Ridge Dr, Suite 100, Richmond, VA 23233Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1972284941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WILKES RIDGE DR",
            "address_2": "SUITE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337964",
            "telephone_number": "703-563-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WILKES RIDGE DR STE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "703-563-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CREEK ENDOSCOPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-354-8818"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.