EAST VALLEY ENDOSCOPY LLC NPI 1164414447

NPI Information

  • NPI: 1164414447
  • Provider Name: EAST VALLEY ENDOSCOPY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 03D1007506
  • Address: 6020 E ARBOR AVE
    SUITE 105
    MESA, AZ
    ZIP 85206
  • Phone: (480) 830-2005

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NPI Details

EAST VALLEY ENDOSCOPY LLC is an ambulatory surgical clinic center in Mesa, AZ. EAST VALLEY ENDOSCOPY LLC NPI is 1164414447. The provider is registered as an organization entity type.

The provider's business location address is:

6020 E ARBOR AVE
SUITE 105
MESA, AZ
ZIP 85206-102
Phone: (480) 830-2005
Fax: (480) 830-2405

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 03D1007506 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)

The enumeration date for this NPI number is 8/22/2005 and was last updated on 9/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalOSC3368ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15441198OTHERARIZONACCN
2AZ0208590OTHERARIZONABLUE CROSS BLUE SHEILD
3IZ9438OTHERARIZONAHEALTHNET
468-03446OTHERARIZONAEVERCARE CHOICE
5769862OTHERARIZONAAHCCCS
65166126-001OTHERARIZONACIGNA
70020884OTHERARIZONAPHYSICIANHEALTHORGANIZATI
8A-133702OTHERARIZONAMULTIPLAN
92047910OTHERARIZONAFIRST HEALTH NETWORK
10874634OTHERARIZONAUSA/MCO
11AZ0208590OTHERARIZONATRIWEST

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: 11/21/2025

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