CONWAY ENDOSCOPY CENTER INC. NPI 1265439632

NPI Information

  • NPI: 1265439632
  • Provider Name: CONWAY ENDOSCOPY CENTER, INC.
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 04D0919707
  • Address: 455 HOGAN LN
    CONWAY, AR
    ZIP 72034
  • Phone: (501) 764-1960

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NPI Details

CONWAY ENDOSCOPY CENTER, INC. is an endoscopy clinic center in Conway, AR. CONWAY ENDOSCOPY CENTER, INC. NPI is 1265439632. The provider is registered as an organization entity type.

The provider's business location address is:

455 HOGAN LN
CONWAY, AR
ZIP 72034-201
Phone: (501) 764-1960
Fax: (501) 513-0798

The provider's authorized official is Kevin D Heath .
The authorized official title is President and has the following contact phone number (501) 764-1960.

The CLIA number assigned to this NPI record is 04D0919707 - physician office 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 esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Dilation of esophagus (HCPCS:43450)
  • 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)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 8/1/2012.

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
1261QE0800XClinic/CenterEndoscopyAR3956ARKANSASYes

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
111049MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2490005155MEDICARE PINARKANSAS
3145383128MEDICAIDARKANSAS

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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