CDH ENDOSCOPY CENTER – NPI #1245202472
Clinic/Center

CDH ENDOSCOPY CENTER is an AHC clinic located in WILLOUGHBY, OH. NPPES has assigned the NPI number 1245202472 to CDH ENDOSCOPY CENTER on February 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CDH ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is WILLOUGHBY ASC LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Sep 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CDH ENDOSCOPY CENTER below.

NPI Profile for
WILLOUGHBY ASC LLC

NPI Number
1245202472
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLOUGHBY ASC LLC
Doing Business As (dba): CDH ENDOSCOPY CENTER
Primary location
34940 RIDGE RD
SUITE B
WILLOUGHBY, OH 44094-4196
Phone: (440) 953-8568 Fax: (440) 953-4429
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHILLIP CLENDENIN
PRESIDENT
Phone: (615) 665-1283
Updated
Identifiers

Identifiers for CDH ENDOSCOPY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2039645
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 OH 0389AS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.