Provider Demographics
NPI:1891769121
Name:MIDWEST ENDOSCOPY CENTER, LLC
Entity type:Organization
Organization Name:MIDWEST ENDOSCOPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GIUSEPPE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIPERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-628-9000
Mailing Address - Street 1:11221 ROE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1748
Mailing Address - Country:US
Mailing Address - Phone:800-590-2713
Mailing Address - Fax:913-647-6870
Practice Address - Street 1:12855 N 40 DR
Practice Address - Street 2:SUITE 150
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8635
Practice Address - Country:US
Practice Address - Phone:800-590-2713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPENDING261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00371227OtherRAILROAD MEDICARE
MO213045OtherBLUE CROSS BLUE SHIELD
MOP00371227OtherRAILROAD MEDICARE