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KISSIMMEE ENDOSCOPY CENTER
NPI 1477595056
Clinic/Center - Endoscopy in Kissimmee, FL

Active since June 11, 2006CLIA 10D0997961 · Waiver
715 OAK COMMONS BLVD, KISSIMMEE, FL 34741(407) 931-2816(407) 931-3485 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kissimmee Endoscopy Center NPPES

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

KISSIMMEE ENDOSCOPY CENTER (NPI 1477595056) is a healthcare organization registered as an endoscopy in Kissimmee, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Christopher A Holden, Chief Manger Of Llc, as its authorized official.

NPPES Registry Identity

NPI1477595056
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameKISSIMMEE ENDOSCOPY CENTER
Location Address715 OAK COMMONS BLVDKissimmee, FL 34741-4213
Mailing Address715 Oak Commons BlvdKissimmee, FL 34741-4213 · (407) 931-2816 · Fax (407) 931-3485
Phone(407) 931-2816
Fax(407) 931-3485
Organization SubpartNo
Authorized OfficialChristopher A HoldenChief Manger Of Llc · (615) 665-1283
Enumeration DateJune 11, 2006
Last NPPES UpdateOctober 2, 2007
✔ NPI 1477595056 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 FL · 1130
715 OAK COMMONS BLVD, Kissimmee, FL 34741
Open in Google Maps ↗

Other Identifiers 9

Other199240Staywell/wellcare
OtherAETNA HMO2802721
Medicare PINF1358
Other6A8Health Options
Other7144367Aetna Ppo/pos
OtherAMERIGROUP113612
Other283180Avmed
Other6A8FL · Bc/bs
OtherCIGNA6547055

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 10D0997961

Kissimmee Endoscopy Center · Kissimmee, FL
Active · expires Apr 1, 2028
CLIA Number10D0997961
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorJaime Rivera
Laboratory Phone(407) 931-2816
Laboratory LocationKissimmee Endoscopy Center715 Oak Commons Blvd, Kissimmee, FL 34741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ANESTHESIA DYNAMICS LLC
Anesthesiology
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (240) 469-2181
OSCEOLA GASTROENTEROLOGY ANESTHESIA ASSOCIATES LLC
Anesthesiology
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (407) 931-2816
ANESTHESIA DYNAMICS LLC
Anesthesiology
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (240) 469-2181
INDEPENDENT ANESTHESIA SERVICES PA
Anesthesiology
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (407) 846-6747
KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC
Clinic/Center (Ambulatory Surgical)
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (407) 463-0672
DR. SREENIVASAN ASOKAN M.D.
Anesthesiology
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (407) 931-2816
JAIME M RIVERA M.D.
Internal Medicine (Gastroenterology)
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (407) 518-1199
THE KISSIMMEE FL ENDOSCOPY ASC LLC
Clinic/Center (Ambulatory Surgical)
715 OAK COMMONS BLVD
KISSIMMEE, FL 34741
Osceola County (407) 931-2816

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 Kissimmee Endoscopy Center's NPI number?

The NPI number for Kissimmee Endoscopy Center is 1477595056. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Kissimmee Endoscopy Center located?

Kissimmee Endoscopy Center is located at 715 Oak Commons Blvd, Kissimmee, FL 34741. The listed phone number is (407) 931-2816.

What is Kissimmee Endoscopy Center's specialty?

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

Does Kissimmee Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0997961) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kissimmee Endoscopy Center was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.