NORTHWEST ENDOSCOPY CENTER, LLC (NPI# 1992941462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992941462 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ENDOSCOPY CENTER, LLC |
| Other Organization Name | NORTH WEST ENDOSCOPY CENTER |
| Practice Address |
488 Kennesaw Ave Nw Suite 100 Marietta GA 30060-9409 |
| Mailing Address |
550 Peachtree St Ne Suite 1600 Atlanta GA 30308-2247 |
| Practice Telephone | 7704273075 |
| Practice Fax Number | 7704273261 |
| Mailing Telephone | 4048887575 |
| Mailing Fax Number | 4048857777 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | MRS. JANA BAKER (ADMINISTRATOR) |
| Authorized Official Telephone | 4048887575 |
| 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 |
| Other Name | Type Code |
|---|---|
| North West Endoscopy Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588765739 | Northwest Endoscopy Center, LLC | Clinic/Center | 2930 Squalicum Pkwy, Suite 202, Bellingham, WA 98225-1854 | 2006-09-26 |
| Street Address |
488 KENNESAW AVE NW SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487604849 | Judy H. Sequeira | Pathology | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2006-05-10 |
| 1184014813 | Julie Taube | Dietitian, Registered | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2015-02-03 |
| 1629246038 | Chanya M Peters | Registered Nurse | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2008-02-19 |
| 1720263809 | Charles Gregory Nesmith Jr. | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2008-01-08 |
| 1134336332 | Basil S Al-awabdy | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060 | 2007-05-17 |
| 1376685651 | Lorena Del Carmen Narvaez | Physician Assistant | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2007-02-13 |
| 1912914565 | Emilia Paige Espenship | Dietitian, Registered | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060 | 2006-08-02 |
| 1831118405 | Anna Virginia Longacre | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2006-07-18 |
| 1952345258 | Mohammad A Wehbi | Internal Medicine | 488 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-9409 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1285108845 | Marietta Advanced Surgery Center | Clinic/Center | 1371 Church Street Ext Ne Ste 100, Marietta, GA 30060-7913 | 2019-01-17 |
| 1700369071 | Alliance Surgery Center At Marietta, LLC | Clinic/Center | 400 Tower Rd Ne Ste 375, Marietta, GA 30060-9417 | 2018-09-12 |
| 1952814352 | Medici Surgical Center, LLC | Clinic/Center | 792 Church St Ne Ste 101, Marietta, GA 30060-7291 | 2017-11-08 |
| 1770004772 | Northwest Atlanta Vascular Care LLC | Clinic/Center | 711 Canton Rd Ne Ste 230, Marietta, GA 30060-8949 | 2017-06-29 |
| 1568864452 | Carpus Surgery Center LLC | Clinic/Center | 3775 Roswell Rd, Suite 275, Marietta, GA 30062-8836 | 2014-09-23 |
| 1881001758 | Asuch Surgery Center | Clinic/Center | 2285 Asquith Ave Sw, Suite 100, Marietta, GA 30008-6008 | 2014-07-12 |
| 1235559378 | Skin Cancer Specialists Surgery Center, LLC | Clinic/Center | 835 Cogburn Ave Nw, Suite 200, Marietta, GA 30060-1031 | 2014-04-16 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1750629325 | Premier Ambulatory Surgical Center, LLC | Clinic/Center | 211 Chicopee Dr Ne, Marietta, GA 30060-1269 | 2013-01-16 |
| 1639499627 | Georgia Urology, Pa | Clinic/Center | 790 Church St Ne, Suite 430, Marietta, GA 30060-7282 | 2010-06-02 |
| Find all providers in MARIETTA | ||||
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| 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.