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WALDORF ENDOSCOPY CENTER
NPI 1003889379
Clinic/Center - Ambulatory Surgical in Waldorf, MD

Active since February 08, 2006CLIA 21D0932904 · Waiver
3510 OLD WASHINGTON RD, WALDORF, MD 20602(301) 638-5354(301) 843-5184 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Waldorf Endoscopy Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALDORF ENDOSCOPY CENTER (NPI 1003889379) is a healthcare organization registered as an ambulatory surgical in Waldorf, Maryland and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1003889379
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE WALDORF ENDOSCOPY ASC, LLC
Location Address3510 OLD WASHINGTON RDWaldorf, MD 20602-3233
Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720
Phone(301) 638-5354
Fax(301) 843-5184
Organization SubpartNo
Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1003889379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MD · A1062
3510 OLD WASHINGTON RD, Waldorf, MD 20602
Open in Google Maps ↗

Other Names 1

Doing Business AsWaldorf Endoscopy Center

Other Identifiers 1

Medicaid621800800MD

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0932904

Waldorf Endoscopy Center · Waldorf, MD
Active · expires Sep 1, 2027
CLIA Number21D0932904
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorDr. Lornette B. Mills MD
Laboratory Phone(301) 638-5354
Laboratory LocationWaldorf Endoscopy Center3510 Old Washington Road Suite 200, Waldorf, MD 20602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
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.
386 services381 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
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.
293 services292 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
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.
258 services249 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
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.
112 services112 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
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.
81 services81 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
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.
61 services60 patients

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RITA GROVER M.D.
Specialist
3510 OLD WASHINGTON RD, SECOND FLOOR
WALDORF, MD 20602
Charles County (240) 427-1859
MRS. CHRISTINA LYN NEAL PA-C
Physician Assistant (Medical)
3510 OLD WASHINGTON RD, SUITE 100
WALDORF, MD 20602
Charles County (301) 609-5200
DR. BETTY SIU MD
Internal Medicine
3510 OLD WASHINGTON RD, SUITE #100
WALDORF, MD 20602
Charles County (301) 609-5200
MARY SISTRUNK RD
Dietitian, Registered
3510 OLD WASHINGTON RD, SUITE #100
WALDORF, MD 20602
Charles County (301) 609-5200
CIVISTA PARTNERS AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
3510 OLD WASHINGTON RD, SUITE 200
WALDORF, MD 20602
Charles County (240) 427-1800
DR. JOEL SEWCHAND F.A.C.P.,F.A.C.G.
Specialist
3510 OLD WASHINGTON RD, SUITE 201
WALDORF, MD 20602
Charles County (301) 645-8035
WALDORF ANESTHESIA SERVICES LLC
Anesthesiology
3510 OLD WASHINGTON RD, STE 200
WALDORF, MD 20602
Charles County (301) 861-3660
HEART CENTER OF SOUTHERN MARYLAND
Physician Assistant
3510 OLD WASHINGTON RD, SUITE 100
WALDORF, MD 20602
Charles County (301) 645-4793

Frequently Asked Questions

What is THE WALDORF ENDOSCOPY ASC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1003889379, enumerated as an "organization" on February 08, 2006.

Where is the provider located?

The provider is located at 3510 OLD WASHINGTON RD WALDORF, MD 20602 and the phone number is (301) 638-5354.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

What insurance does THE WALDORF ENDOSCOPY ASC, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.