ENDOSCOPY CENTER OF DAYTON NORTH LLC
NPI 1194724690
Clinic/Center - Ambulatory Surgical in Dayton, OH

NPI Status: Active since July 18, 2005

Contact Information

9000 N MAIN ST
SUITE 405
DAYTON, OH
ZIP 45415
Phone: (937) 320-5050
Fax: (937) 320-5060

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 36D1023326
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-14-2026

About ENDOSCOPY CENTER OF DAYTON NORTH LLC

This page provides the complete NPI Profile along with additional information for Endoscopy Center Of Dayton North Llc, a provider established in Dayton, Ohio operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1194724690 assigned on July 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 0619AS (OH). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Christopher Hartshorn (Officer/authorized Official)

NPI
1194724690
Provider Name
ENDOSCOPY CENTER OF DAYTON NORTH LLC
Entity Type
Organization
Location Address
9000 N MAIN ST SUITE 405 DAYTON, OH 45415
Location Phone
(937) 320-5050
Location Fax
(937) 320-5060
Mailing Address
75 SYLVANIA DR DAYTON, OH 45440
Mailing Phone
(937) 320-5050
Mailing Fax
(937) 320-5060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2005
Last Update Date
09-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
0619AS
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO
  • Bronze 10 - HMO
  • Bronze 8 - HMO
  • Bronze 9 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER HARTSHORN

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(314) 800-2017

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2218504MEDICAID (05)OH 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 22 times for 18 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 349 times for 340 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 138 times for 137 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 96 times for 96 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 49 times for 49 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 120 times for 120 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 71 times for 71 patients

Dilation of esophagus

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

This service was performed 151 times for 150 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 29 times for 29 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 12 times for 12 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 545 times for 539 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1023326
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 15, 2024
Certificate Expiration Date
March 14, 2026
Laboratory Director
LISA M. STONE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Endoscopy Center Of Dayton North Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194724690
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841428618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 2 + 8 + 6 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1194724690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922003813 BRIAN FLAMM
Individual
Pharmacist (Pharmacotherapy)9000 N MAIN ST
DAYTON, OH 45415
(937) 567-6172
1194720987DR. BRUCE JEREMY BERNIE M.D.
Individual
Obstetrics & Gynecology (Gynecology)9000 N MAIN ST SUITE 234
DAYTON, OH 45415
(937) 277-8988
1861497414 RENEE HEITMEYER PHARMD
Individual
Pharmacist9000 N MAIN ST STE 225
DAYTON, OH 45415
(937) 567-6172
1881690964PREMIER HEART ASSOCIATES, INC
Organization
Internal Medicine (Cardiovascular Disease)9000 N MAIN ST STE 101
DAYTON, OH 45415
(937) 832-2425
1639179856 ACO JOVANOV MD
Individual
Family Medicine9000 N MAIN ST SUITE 403
DAYTON, OH 45415
(937) 836-5171
1760470942SAMARITAN NORTH SURGERY CENTER LTD
Organization
Clinic/Center (Ambulatory Surgical)9000 N MAIN ST
DAYTON, OH 45415
(937) 567-5900
1508841867DR. ROLANDO SINENENG M.D.
Individual
Specialist9000 N MAIN ST SUITE 405
DAYTON, OH 45415
(937) 427-1680
1770539033DR. ABDOLALI ELMI MD
Individual
Specialist9000 N MAIN ST STE 201
DAYTON, OH 45415
(937) 836-4042
1770693574MR. KEVIN CHARLES O'NEILL MS, LPCC
Individual
Counselor (Professional)9000 N MAIN ST SUITE 301
DAYTON, OH 45415
(937) 836-0596
1578644738ASSOCIATED FOOT AND ANKLE SPECIALISTS OF OHIO INC.
Organization
Podiatrist (Foot & Ankle Surgery)9000 N MAIN ST STE 203
DAYTON, OH 45415
(937) 435-6585
1710199799MR. VICTOR OLIVER BILLHEIMER JR. ATC
Individual
Specialist/Technologist (Athletic Trainer)9000 N MAIN ST
DAYTON, OH 45415
(937) 567-5955
1275735953OHIO INSTITUTE OF CARDIAC CARE, INC.
Organization
Internal Medicine (Cardiovascular Disease)9000 N MAIN ST SUITE 202
DAYTON, OH 45415
(937) 832-1095
1972792893DAYTON ORTHOPEDIC CENTER, INC
Organization
Orthopaedic Surgery9000 N MAIN ST STE 201
DAYTON, OH 45415
(937) 836-4042
1033385299NON-INVASIVE INTERPRETATIONS LLC
Organization
Internal Medicine (Cardiovascular Disease)9000 N MAIN ST STE 101
DAYTON, OH 45415
(938) 832-2425
1649428244BONE & JOINT SURGEONS, INC
Organization
Internal Medicine (Critical Care Medicine)9000 N MAIN ST
DAYTON, OH 45415
(937) 832-5599
1265685002 JALANA N LAZAR CNM
Individual
Advanced Practice Midwife9000 N MAIN ST SUITE 234
DAYTON, OH 45415
(937) 277-8988
1538398078PREMIER HEALTH SPECIALISTS INC
Organization
Orthopaedic Surgery9000 N MAIN ST STE 227
DAYTON, OH 45415
(937) 832-4773
1063641272DAYTON PAIN CENTER LLC
Organization
Anesthesiology (Pain Medicine)9000 N MAIN ST
DAYTON, OH 45415
(937) 222-2233
1194059113 KAREN D. DANIEL CPNP-PC
Individual
Clinical Nurse Specialist (Pediatrics)9000 N MAIN ST SUITE 332
DAYTON, OH 45415
(937) 832-7337
1063741437PREMIER HEALTH SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies9000 N MAIN ST STE 227
DAYTON, OH 45415
(937) 832-4773

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194724690, enumerated in the NPI registry as an "organization" on July 18, 2005

The provider is located at 9000 N Main St Suite 405 Dayton, Oh 45415 and the phone number is (937) 320-5050

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm, Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Diagnostic exam of large bowel using a flexible endoscope, Dilation of esophagus, Injection beneath lining of large bowel using a flexible endoscope, Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare and Removal of polyps or growths of large bowel using an endoscope with mechanical snare.

The provider's CLIA number is 36D1023326 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.