AFFINITY GASTROENTEROLOGY ASC LLC (NPI# 1225698681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225698681 |
Entity Type | Organization |
Organization Name | AFFINITY GASTROENTEROLOGY ASC LLC |
Other Organization Name | GRANDVIEW ENDOSCOPY CENTER |
Practice Address |
3686 Grandview Pkwy Ste 610 Birmingham AL 35243-3406 |
Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
Practice Telephone | 2059713700 |
Practice Fax Number | 2059713701 |
Enumeration Date | 2019-06-18 |
Last Update Date | 2020-01-22 |
Authorized Official Name | JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES) |
Authorized Official Telephone | 6157781502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Grandview Endoscopy Center | Doing Business As Name - Organization |
Street Address |
3686 GRANDVIEW PKWY STE 610 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35243-3406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
Find all providers in zip 35243 |
Taxonomy Code | 261QE0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Endoscopy |
Definition to come... |
City | BIRMINGHAM |
Zip Code | 35243 |
Please comment or provide details below to improve the information on AFFINITY GASTROENTEROLOGY ASC LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.