ENDOSCOPY CENTER MONROE LLC NPI 1619049939

NPI Information

  • NPI: 1619049939
  • Provider Name: ENDOSCOPY CENTER MONROE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CAROLINA ENDOSCOPY CENTER MONROE
  • CLIA Number: 34D1057420
  • Address: 1663 CAMPUS PARK DR STE A
    MONROE, NC
    ZIP 28112
  • Phone: (704) 261-1220

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NPI Details

ENDOSCOPY CENTER MONROE LLC is an ambulatory surgical clinic center in Monroe, NC. ENDOSCOPY CENTER MONROE LLC NPI is 1619049939. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Endoscopy Center Monroe.

The provider's business location address is:

1663 CAMPUS PARK DR STE A
MONROE, NC
ZIP 28112-582
Phone: (704) 261-1220
Fax: (704) 261-1223

The provider's authorized official is Julie Rothrock .
The authorized official title is Credentialing Coordinator and has the following contact phone number (704) 372-7974.

The CLIA number assigned to this NPI record is 34D1057420 - 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.

  • 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)

The enumeration date for this NPI number is 11/14/2006 and was last updated on 2/8/2024.

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 SurgicalYes

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
12381097OTHERNORTH CAROLINAMEDICARE OTHER

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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