THE OVERLAND PARK KS ENDOSCOPY ASC LLC NPI 1235104738

NPI Information

NPI: 1235104738
Provider Name: THE OVERLAND PARK KS ENDOSCOPY ASC LLC

Doing Business As: ENDOSCOPIC IMAGING CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
10200 W 105TH ST
OVERLAND PARK, KS
ZIP 66212
Phone: (913) 492-0800
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THE OVERLAND PARK KS ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Overland Park, KS. THE OVERLAND PARK KS ENDOSCOPY ASC LLC NPI is 1235104738. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopic Imaging Center.

The provider's business location address is:

10200 W 105TH ST
OVERLAND PARK, KS
ZIP 66212-750
Phone: (913) 492-0800
Fax: (913) 492-2432

The provider's authorized official is Jeffrey E 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 17D0988674 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2006 and was last updated on 11/23/2022.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	S046017	KANSAS	Yes

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
1	100405740B	MEDICAID	KANSAS

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

NPI Synchronization or Removal

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