Provider Demographics
NPI:1154301240
Name:ENDOSCOPY CENTER OF WASHINGTON DC LP
Entity Type:Organization
Organization Name:ENDOSCOPY CENTER OF WASHINGTON DC LP
Other - Org Name:THE ENDOSCOPY CENTER OF WASHINGTON, D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SNODGRASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-665-1283
Mailing Address - Street 1:1A BURTON HILLS BLVD
Mailing Address - Street 2:ATTN: L&C
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6103
Mailing Address - Country:US
Mailing Address - Phone:202-775-0574
Mailing Address - Fax:202-463-1165
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE T-115
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-775-0574
Practice Address - Fax:202-463-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD060104261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC490001002OtherRAILROAD
DC490001002OtherRAILROAD
DC09-C0001002Medicare Oscar/Certification