Organization
AMSURG NORTHERN KENTUCKY GI LLC
Active
Other names
St. Elizabeth Physicians Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
340 THOMAS MORE PKWY, SUITE 160B, CRESTVIEW HILLS, KY 41017-5100
(859) 331-6466
(859) 331-1932
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(859) 331-6466
(859) 331-1932
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278324
—
OH
05
—
7100153030
—
KY
01
—
P00883600
RAILROAD MEDICARE
KY
Enumeration date
02/08/2006
Last updated
05/03/2022
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