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NORTH COAST ENDOSCOPY LLC NPI 1518034354


NPI Information

NPI: 1518034354
Provider Name: NORTH COAST ENDOSCOPY, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 36D2027406

Address:
9500 MENTOR AVE
SUITE 380
MENTOR, OH
ZIP 44060
Phone: (440) 352-9400
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NORTH COAST ENDOSCOPY, LLC is an endoscopy clinic center in Mentor, OH. NORTH COAST ENDOSCOPY, LLC NPI is 1518034354. The provider is registered as an organization entity type.

The provider's business location address is:

9500 MENTOR AVE
SUITE 380
MENTOR, OH
ZIP 44060
Phone: (440) 352-9400
Fax: (440) 352-9407

The provider's authorized official is Aimee Cathleen Judy .
The authorized official title is Director, Credentialing and has the following contact phone number (901) 737-4665.

The CLIA number assigned to this NPI record is 36D2027406 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 2/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0800XClinic/CenterEndoscopy143 FACILITY# 0084ASOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10901500MEDICAIDOHIO
26800024OTHERUNITED HEALTHCARE
318966OTHERQUALCHOICE
4000000157346OTHERANTHEM
5314359OTHERUPMC
6104697OTHERKAISER
7490002140OTHERRAILROAD 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.