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WESTSIDE ENDOSCOPY NPI 1053349738


NPI Information

NPI: 1053349738
Provider Name: WESTSIDE ENDOSCOPY
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5525 MARIE AVE
CINCINNATI, OH
ZIP 45248
Phone: (513) 598-9222
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WESTSIDE ENDOSCOPY is a medical specialty clinic center in Cincinnati, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WESTSIDE ENDOSCOPY NPI is 1053349738. The provider is registered as an organization entity type.

The provider's business location address is:

5525 MARIE AVE
CINCINNATI, OH
ZIP 45248-230
Phone: (513) 598-9222
Fax: (513) 598-2472

The provider's authorized official is Gregory Bush .
The authorized official title is Chief Operating Officer and has the following contact phone number (513) 794-5619.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12617841MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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