GULF COAST ENDOSCOPY CENTER SOUTH – NPI #1992777643
Clinic/Center

GULF COAST ENDOSCOPY CENTER SOUTH is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1992777643 to GULF COAST ENDOSCOPY CENTER SOUTH on February 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GULF COAST ENDOSCOPY CENTER SOUTH” is a dba name, the actual legal business name for this organization is CAPE CORAL FT MYERS ENDOSCOPY 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 4 years ago on Oct 31, 2022. 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 GULF COAST ENDOSCOPY CENTER SOUTH below.

NPI Profile for
CAPE CORAL FT MYERS ENDOSCOPY ASC LLC

NPI Number
1992777643
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
CAPE CORAL FT MYERS ENDOSCOPY ASC LLC
Doing Business As (dba): GULF COAST ENDOSCOPY CENTER SOUTH
Primary location
7152 COCA SABAL LN
FORT MYERS, FL 33908-4263
Phone: (239) 985-0215 Fax: (239) 985-0394
Mailing address
1A BURTON HILLS BLVD # L&C
NASHVILLE, TN 37215-6187
Phone: (615) 240-3820 Fax: (615) 234-1720
Organization Subpart
No
Authorized Official
JEFFREY SNODGRASS
PRESIDENT
Phone: (615) 665-1283
Updated
Certification Date
Oct 31, 2022

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.

Identifiers

Identifiers for GULF COAST ENDOSCOPY CENTER SOUTH

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
medicaidFL070712100
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)		 FL 1108

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.