MAIN LINE PA ENDOSCOPY ASC LP NPI 1235239054

NPI Information

  • NPI: 1235239054
  • Provider Name: MAIN LINE PA ENDOSCOPY ASC LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MAIN LINE ENDOSCOPY CENTER BALA CYNWYD
  • Address: 333 E CITY LINE AVE
    TWO BALA PLAZA, SUITE 30
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (610) 644-7274

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NPI Details

MAIN LINE PA ENDOSCOPY ASC LP is an ambulatory surgical clinic center in Bala Cynwyd, PA. MAIN LINE PA ENDOSCOPY ASC LP NPI is 1235239054. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Line Endoscopy Center Bala Cynwyd.

The provider's business location address is:

333 E CITY LINE AVE
TWO BALA PLAZA, SUITE 30
BALA CYNWYD, PA
ZIP 19004-501
Phone: (610) 644-7274
Fax: (610) 644-7276

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 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 large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Colorectal cancer screening; flexible sigmoidoscopy (HCPCS:G0104)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 3/7/2024.

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 Surgical16701501PENNSYLVANIAYes

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
1P00478537OTHERPENNSYLVANIARAILROAD MEDICARE

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: 3/30/2025

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