FREDERICKSBURG ENDOSCOPY CENTER LLC NPI 1306486634

NPI Information

NPI: 1306486634
Provider Name: FREDERICKSBURG ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 49D2189308
Address: 1211 CENTRAL PARK BLVD
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 408-0800

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NPI Details

FREDERICKSBURG ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Fredericksburg, VA. FREDERICKSBURG ENDOSCOPY CENTER, LLC NPI is 1306486634. The provider is registered as an organization entity type.

The provider's business location address is:

1211 CENTRAL PARK BLVD
FREDERICKSBURG, VA
ZIP 22401-912
Phone: (540) 408-0800
Fax: (540) 408-0810

The provider's authorized official is Yolanda M Kay .
The authorized official title is Administrator and has the following contact phone number (540) 408-0800.

The CLIA number assigned to this NPI record is 49D2189308 - 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.

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)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
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)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
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)
Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
Tying of single internal hemorrhoid group (HCPCS:46945)
Control of bleeding of upper large bowel using a flexible endoscope (HCPCS:45382)

The enumeration date for this NPI number is 1/15/2020 and was last updated on 11/4/2025.

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			Yes

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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