AMSURG NORTHERN KENTUCKY GI LLC NPI 1801869292

NPI Information

NPI: 1801869292
Provider Name: AMSURG NORTHERN KENTUCKY GI LLC

Doing Business As: ST. ELIZABETH PHYSICIANS ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 18D2089727

Address:
340 THOMAS MORE PKWY
SUITE 160B
CRESTVIEW HILLS, KY
ZIP 41017
Phone: (859) 331-6466
Get Directions

AMSURG NORTHERN KENTUCKY GI LLC is an ambulatory surgical clinic center in Crestview Hills, KY. AMSURG NORTHERN KENTUCKY GI LLC NPI is 1801869292. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Elizabeth Physicians Endoscopy Center.

The provider's business location address is:

340 THOMAS MORE PKWY
SUITE 160B
CRESTVIEW HILLS, KY
ZIP 41017-100
Phone: (859) 331-6466
Fax: (859) 331-1932

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 18D2089727 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 5/3/2022.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	300131	KENTUCKY	Yes

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
1	7100153030	MEDICAID	KENTUCKY
2	2278324	MEDICAID	OHIO
3	P00883600	OTHER	KENTUCKY	RAILROAD 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: 5/5/2024

NPI Synchronization or Removal

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