SACRAMENTO MIDTOWN ENDOSCOPY CENTER, LLC (NPI# 1730563610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730563610 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO MIDTOWN ENDOSCOPY CENTER, LLC |
| Practice Address |
3941 J St Ste 460 Sacramento CA 95819-3633 |
| Practice Telephone | 9167336940 |
| Practice Fax Number | 9167336934 |
| Mailing Telephone | 9167336940 |
| Mailing Fax Number | 9167336934 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15305 Dallas Pkwy, Ste 1600, Addison, TX 750014637 | 9727633893 | 9726926745 |
| Street Address |
3941 J ST STE 460 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136412 | Endoscopy Center of South Sacramento, LLC | Clinic/Center | 8120 Timberlake Way Ste 103, Sacramento, CA 95823-5413 | 2018-09-06 |
| 1134449382 | Lisa H. Hwang | Clinic/Center | The Plastic Surgery Center, 95 Scripps Drive, Sacramento, CA 95825 | 2010-06-09 |
| 1710127774 | Northern California Advanced Surgery Center Lp | Clinic/Center | 5771 Greenback Ln, Sacramento, CA 95841-2013 | 2009-03-03 |
| 1649434515 | Jagdev Singh Heir,md A Professional Corporation | Clinic/Center | 4170 Truxel Rd Ste C, Sacramento, CA 95834-3758 | 2008-07-10 |
| 1285696500 | Sutter Surgery Center Lp | Clinic/Center | 75 Scripps Dr, Sacramento, CA 95825-6320 | 2006-04-03 |
| 1780689802 | Pain Diagnostic and Treatment Center Lp | Clinic/Center | 2805 J. St, Ste 200, Sacramento, CA 95816-4307 | 2005-06-15 |
| 1114921541 | Sacramento Surgery Center Assoc., Lp | Clinic/Center | 1800 Tribute Rd, Ste 100, Sacramento, CA 95815-4314 | 2005-06-13 |
| 1295739134 | Michael J Fazio, Md, Surgery Center | Clinic/Center | 2805 J St, Ste 100, Sacramento, CA 95816-4307 | 2005-06-09 |
| 1336510486 | Sacramento Heart Ambulatory Surgery Center, Inc | Clinic/Center | 500 University Ave, Sacramento, CA 95825-6504 | 2015-10-15 |
| 1497130660 | Nivano Ambulatory Surgery Center, Lp | Clinic/Center | 77 Cadillac Dr, Suite 130, Sacramento, CA 95825-5453 | 2015-07-29 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
Please comment or provide details below to improve the information on SACRAMENTO MIDTOWN ENDOSCOPY CENTER, 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.