PREMIER ENDOSCOPY CENTER LLC NPI 1659683662

NPI Information

  • NPI: 1659683662
  • Provider Name: PREMIER ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 2563 S VAL VISTA DR STE 101A
    GILBERT, AZ
    ZIP 85295
  • Phone: (480) 573-0213

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NPI Details

PREMIER ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Gilbert, AZ. PREMIER ENDOSCOPY CENTER, LLC NPI is 1659683662. The provider is registered as an organization entity type.

The provider's business location address is:

2563 S VAL VISTA DR STE 101A
GILBERT, AZ
ZIP 85295-231
Phone: (480) 573-0213
Fax: (480) 573-0214

The provider's authorized official is Jarrett Leathem .
The authorized official title is Do, Owner and has the following contact phone number (480) 573-0130.

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.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Fusion of spine in lower back (HCPCS:22612)
  • 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 bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)

The enumeration date for this NPI number is 7/7/2010 and was last updated on 6/28/2022.

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

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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