SOUTHWEST ENDOSCOPY LLC NPI 1386277069

NPI Information

  • NPI: 1386277069
  • Provider Name: SOUTHWEST ENDOSCOPY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 03D1077959
  • Address: 2223 E BASELINE RD STE B
    GILBERT, AZ
    ZIP 85234
  • Phone: (480) 289-5266

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NPI Details

SOUTHWEST ENDOSCOPY LLC is an ambulatory surgical clinic center in Gilbert, AZ. SOUTHWEST ENDOSCOPY LLC NPI is 1386277069. The provider is registered as an organization entity type.

The provider's business location address is:

2223 E BASELINE RD STE B
GILBERT, AZ
ZIP 85234-336
Phone: (480) 289-5266
Fax: (480) 289-5271

The provider's authorized official is Eric Boon .
The authorized official title is Authorized Official and has the following contact phone number (480) 289-5266.

The CLIA number assigned to this NPI record is 03D1077959 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, rimabotulinumtoxinb, 100 units (HCPCS:J0587)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Removal of external hemorrhoids by rubber banding (HCPCS:46221)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Injection of agent to destroy nerve to internal sphincter of anus (HCPCS:46505)
  • Dilation of esophagus (HCPCS:43450)
  • Insertion of sacral nerve neurostimulator electrode (HCPCS:64581)
  • Incision and drainage of abscess in wall of rectum or between rectum and muscle with incision or removal of abnormal drainage tract (HCPCS:46060)

The enumeration date for this NPI number is 2/20/2020 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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