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TULSA ENDOSCOPY CENTER
NPI 1417916800
Clinic/Center - Ambulatory Surgical in Tulsa, OK

Active since March 22, 2006CLIA 37D1016153 · Waiver
4200 E SKELLY DR, SUITE 100, TULSA, OK 74135(918) 728-6010(918) 728-6017 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2022, Aug 23, 2021, Jun 21, 2018 (3 updates tracked since 2018).

About Tulsa Endoscopy Center NPPES

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

TULSA ENDOSCOPY CENTER (NPI 1417916800) is a healthcare organization registered as an ambulatory surgical in Tulsa, Oklahoma and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Jeffrey E Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1417916800
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTULSA OK ENDOSCOPY ASC LLC
Location Address4200 E SKELLY DR, SUITE 100Tulsa, OK 74135-3247
Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 665-1283 · Fax (615) 234-1720
Phone(918) 728-6010
Fax(918) 728-6017
Organization SubpartNo
Authorized OfficialJeffrey E SnodgrassPresident · (615) 665-1283
Enumeration DateMarch 22, 2006
Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration
NPPES CertifiedNovember 23, 2022
✔ NPI 1417916800 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 OK · 0073
4200 E SKELLY DR, Tulsa, OK 74135
Open in Google Maps ↗

Other Names 1

Doing Business AsTulsa Endoscopy Center

Other Identifiers 1

Medicaid200084200AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, UnitedHealthcare.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 37D1016153

Tulsa Endoscopy Center · Tulsa, OK
Active · expires Aug 20, 2027
CLIA Number37D1016153
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorPatrick R. Volak
Laboratory Phone(918) 728-6010
Laboratory LocationTulsa Endoscopy Center4200 E Skelly Drive Suite 100, Tulsa, OK 74135
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 11

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.
1,023 services1,018 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.
930 services908 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.
483 services480 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
389 services350 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.
343 services343 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.
128 services127 patients

Other Providers at the Same Location NPPES 4

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

ADVANCED ANESTHESIA ASSOCIATES, LLC
Anesthesiology
4200 E SKELLY DR, SUITE 252
TULSA, OK 74135
Tulsa County (615) 240-3820
MICHAEL SUTTON DO
Internal Medicine (Gastroenterology)
4200 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 438-7050
ANESTHESIA ASSOCIATES OF OKLAHOMA PLLC
Anesthesiology
4200 E SKELLY DR, SUITE 100
TULSA, OK 74135
Tulsa County (918) 728-6010
MRS. MORGAN MARIE BIRD APRN-CNP
Nurse Practitioner (Family)
4200 E SKELLY DR
TULSA, OK 74135
Tulsa County (918) 438-7050

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 Tulsa Ok Endoscopy ASC LLC's NPI number?

The NPI number for Tulsa Ok Endoscopy ASC LLC is 1417916800. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Tulsa Endoscopy Center.

Where is Tulsa Ok Endoscopy ASC LLC located?

Tulsa Ok Endoscopy ASC LLC is located at 4200 E Skelly Dr Suite 100, Tulsa, OK 74135. The listed phone number is (918) 728-6010.

What is Tulsa Ok Endoscopy ASC LLC's specialty?

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

Does Tulsa Ok Endoscopy ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1016153) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tulsa Ok Endoscopy ASC LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Tulsa Ok Endoscopy ASC LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tulsa Ok Endoscopy ASC LLC was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.