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

NPI Status: Active since October 12, 2006

Contact Information

148 W RIVER ST
SUITE 3
PROVIDENCE, RI
ZIP 02904
Phone: (401) 274-1260
Fax: (401) 453-0330

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  • Organization
  • Clinic/Center
  • Endoscopy
  • CLIA Number: 41D1065499
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-01-2027

About OCEAN STATE ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Ocean State Endoscopy Center, a provider established in Providence, Rhode Island operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1184713919 assigned on October 2006. The practitioner's primary taxonomy code is 261QE0800X with license number FAS01015 (RI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Ocean State Endoscopy Center. The authorized official of this NPI record is Jennifer Boyd Baldock (Officer And Authorized Official)

NPI
1184713919
Provider Legal Name
BAYSIDE ENDOSCOPY CENTER, LLC
Other Organization Name
OCEAN STATE ENDOSCOPY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
148 W RIVER ST SUITE 3 PROVIDENCE, RI 02904
Location Phone
(401) 274-1260
Location Fax
(401) 453-0330
Mailing Address
340 SEVEN SPRINGS WAY STE 600 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2006
Last Update Date
03-21-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities
License No.
FAS01015
License State
RI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER BOYD BALDOCK

Authorized Official Title
OFFICER AND AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 234-5954

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 248 times for 241 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 352 times for 351 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 52 times for 52 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

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.

This service was performed 36 times for 36 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 18 times for 18 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope

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.

This service was performed 67 times for 65 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 181 times for 181 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
41D1065499
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 02, 2025
Certificate Expiration Date
March 01, 2027
Laboratory Director
PHILIP A. MCANDREW MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ocean State Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OCEAN STATE ENDOSCOPY CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184713919, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 4 + 1 + 6 + 9 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1184713919.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
148 W RIVER ST, SUITE 22B
PROVIDENCE, RI 02904
Pharmacist
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Nutritionist (Nutrition, Education)
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Internal Medicine
148 W RIVER ST, 1D
PROVIDENCE, RI 02904
Registered Nurse (Diabetes Educator)
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Pharmacist (Pharmacotherapy)
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Dermatology
148 W RIVER ST, SUITE 1 B
PROVIDENCE, RI 02904
Internal Medicine
148 W RIVER ST, SUITE 22B
PROVIDENCE, RI 02904
Nurse Practitioner
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Specialist
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Specialist
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Otolaryngology
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904
Internal Medicine (Gastroenterology)
148 W RIVER ST, SUITE 3
PROVIDENCE, RI 02904
Dietitian, Registered
148 W RIVER ST
PROVIDENCE, RI 02904
Nurse Practitioner (Acute Care)
148 W RIVER ST
PROVIDENCE, RI 02904
Dermatology
148 W RIVER ST, SUITE 1 B
PROVIDENCE, RI 02904
Otolaryngology
148 W RIVER ST, SUITE 2A
PROVIDENCE, RI 02904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184713919, enumerated as an "organization" on October 12, 2006.

The provider is located at 148 W RIVER ST SUITE 3 PROVIDENCE, RI 02904 and the phone number is (401) 274-1260.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.