ORANGE PARK ENDOSCOPY CENTER – NPI #1821342858
Clinic/Center

ORANGE PARK ENDOSCOPY CENTER is an AHC clinic located in ORANGE PARK, FL. NPPES has assigned the NPI number 1821342858 to ORANGE PARK ENDOSCOPY CENTER on October 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ORANGE PARK ENDOSCOPY CENTER” is a dba name, the actual legal business name for this organization is SURGCENTER OF ORANGE PARK, 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 last updated on Sep 13, 2024. 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 ORANGE PARK ENDOSCOPY CENTER below.

NPI Profile for
SURGCENTER OF ORANGE PARK, LLC

NPI Number
1821342858
Enumeration Date

(more than 13 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
SURGCENTER OF ORANGE PARK, LLC
Doing Business As (dba): ORANGE PARK ENDOSCOPY CENTER
Primary location
805 WELLS RD FL 1
ORANGE PARK, FL 32073-2301
Phone: (904) 643-3326 Fax: (904) 592-9726
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COLLIN LEMAISTRE
OFFICER/AUTHORIZED OFFICIAL
Phone: (214) 213-0723
Updated
Certification Date
Sep 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669