Organization
BALTIMORE ENDOSCOPY ASC LLC
Active
Other names
Gastrointestinal Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
700 GEIPE RD STE 220, BALTIMORE, MD 21228-4577
(410) 242-3636
(410) 242-4404
Mailing address
1A BURTON HILLS BLVD # 300L&C, NASHVILLE, TN 37215-6100
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1160
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110027
—
MD
01
—
521911074001
SIERRA MILITARY HEALTHCAR
MD
Enumeration date
02/06/2006
Last updated
08/25/2025
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