THE ENDOSCOPY & COLONOSCOPY CENTER
NPI 1366515504
Clinic/Center - Ambulatory Surgical in Hazelwood, MO

Q: What is Riverside Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 16, 2006

100 VILLAGE SQ, HAZELWOOD, MO 63042(314) 373-8931(314) 373-8935 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About The Endoscopy & Colonoscopy Center NPPES

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

THE ENDOSCOPY & COLONOSCOPY CENTER (NPI 1366515504) is a healthcare organization registered as an ambulatory surgical in Hazelwood, Missouri and active in the NPI registry since November 2006. The organization lists Christopher Hartshorn, Medicare Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366515504

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRIVERSIDE AMBULATORY SURGERY CENTER, LLC

Location Address100 VILLAGE SQHazelwood, MO 63042-1820

Mailing Address100 Village SqHazelwood, MO 63042-1820 · (314) 373-8931 · Fax (314) 373-8935

Phone(314) 373-8931

Fax(314) 373-8935

Organization SubpartNo

Authorized OfficialChristopher HartshornMedicare Authorized Official · (314) 800-2017

Enumeration DateNovember 16, 2006

Last NPPES UpdateSeptember 6, 2024

NPPES CertifiedSeptember 6, 2024

✔ NPI 1366515504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

100 VILLAGE SQ, Hazelwood, MO 63042

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Other Names 1

Doing Business AsThe Endoscopy & Colonoscopy Center

Other Identifiers 4

OtherP00240669MO · Railroad Medicare

Other192544MO · Blue Cross Blue Shield

OtherP00240669MO · Rr Medicare

Medicaid504453606MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 26D1028574

Riverside Ambulatory Surgery Center, LLC Dba Endoscopy & Colonoscopy Center · Hazelwood, MO

Expired · Jul 26, 2026

CLIA Number26D1028574

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 27, 2024

Certificate Expiration DateJuly 26, 2026

Laboratory DirectorGary Koenig

Laboratory Phone(314) 373-8931

Laboratory LocationRiverside Ambulatory Surgery Center, LLC Dba Endoscopy & Colonoscopy Center100 Village Square, Hazelwood, MO 63042

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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.

107 services107 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.

102 services101 patients

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.

81 services81 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.

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.

43 services43 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.

26 services26 patients

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Other Providers at the Same Location NPPES 9

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

DREAMLAND UAP ANESTHESIA, LLC

Nurse Anesthetist, Certified Registered