1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Clinic Center
  6. NPI Profile

OCEAN STATE ENDOSCOPY CENTER
NPI 1184713919
Clinic/Center - Endoscopy in Providence, RI

Active since October 12, 2006CLIA 41D1065499 · Waiver
148 W RIVER ST, SUITE 3, PROVIDENCE, RI 02904(401) 274-1260(401) 453-0330 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ocean State Endoscopy Center NPPES

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

OCEAN STATE ENDOSCOPY CENTER (NPI 1184713919) is a healthcare organization registered as an endoscopy in Providence, Rhode Island and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1184713919
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameBAYSIDE ENDOSCOPY CENTER, LLC
Location Address148 W RIVER ST, SUITE 3Providence, RI 02904-2615
Mailing Address340 Seven Springs Way Ste 600Brentwood, TN 37027-5605
Phone(401) 274-1260
Fax(401) 453-0330
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1184713919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
License✔ Licensed in RI · FAS01015
148 W RIVER ST, Providence, RI 02904
Open in Google Maps ↗

Other Names 1

Doing Business AsOcean State Endoscopy Center

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 41D1065499

Ocean State Endoscopy · Providence, RI
Active · expires Mar 1, 2027
CLIA Number41D1065499
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorPhilip A. Mcandrew MD
Laboratory Phone(401) 274-1260
Laboratory LocationOcean State Endoscopy148 West River Street Suite 3, Providence, RI 02904
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 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.
243 services243 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.
217 services214 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.
167 services167 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
54 services54 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.
49 services49 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.
22 services22 patients

Other Providers at the Same Location NPPES 20

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

KATRINA ADORA DESPINOS CNM, APRN
Advanced Practice Midwife
148 W RIVER ST
PROVIDENCE, RI 02904
Providence County (401) 606-3027
BARBARA C RAMPO FNP
Nurse Practitioner
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
DAVID SAMUEL BICK M.D.
Otolaryngology
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Providence County (401) 728-0140
JOEL S SPELLUN M.D.
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
PHILIP MCANDREW M.D.
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
CONSULTANTS IN GASTROENTEROLOGY, INC
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
MARLA CATHLEEN ANGERMEIER M.D.
Dermatology
148 W RIVER ST, SUITE 1 B
PROVIDENCE, RI 02904
Providence County (401) 273-9310
LISA B. SZUMITA PHARM.D., CDE
Pharmacist
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Providence County (401) 770-4846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayside Endoscopy Center, LLC's NPI number?

The NPI number for Bayside Endoscopy Center, LLC is 1184713919. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Ocean State Endoscopy Center.

Where is Bayside Endoscopy Center, LLC located?

Bayside Endoscopy Center, LLC is located at 148 W River St Suite 3, Providence, RI 02904. The listed phone number is (401) 274-1260.

What is Bayside Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Bayside Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1065499) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayside Endoscopy Center, LLC was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.