EVANSVILLE ENDOSCOPY SURGERY CENTER, LLC
NPI 1669044111
Clinic/Center - Ambulatory Surgical in Newburgh, IN

Active since July 14, 2021CLIA 15D2251908 · Waiver
3800 VENETIAN WAY, NEWBURGH, IN 47630(812) 477-6103 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Jun 22, 2023, Feb 13, 2023 and 3 more (6 updates tracked since 2021).

About Evansville Endoscopy Surgery Center, Llc NPPES

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

EVANSVILLE ENDOSCOPY SURGERY CENTER, LLC (NPI 1669044111) is a healthcare organization registered as an ambulatory surgical in Newburgh, Indiana and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Doug Lashley, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1669044111
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEVANSVILLE ENDOSCOPY SURGERY CENTER, LLC
Location Address3800 VENETIAN WAYNewburgh, IN 47630
Mailing Address3800 Venetian WayNewburgh, IN 47630-8257 · (812) 477-6103
Organization SubpartNo
Authorized OfficialDoug LashleyVp Operations · (812) 491-2568
Enumeration DateJuly 14, 2021
Last NPPES UpdateSeptember 8, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1669044111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3800 VENETIAN WAY, Newburgh, IN 47630

Accepted 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 15D2251908

Evansville Endoscopy Surgery Center, LLC · Newburgh, IN
Active · expires Feb 6, 2028
CLIA Number15D2251908
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorGardar Gislason
Laboratory Phone(812) 491-2568
Laboratory LocationEvansville Endoscopy Surgery Center, LLC3800 Venetian Way, Newburgh, IN 47630
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 17

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.
1,012 services1,009 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.
605 services593 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.
384 services380 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.
266 services266 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.
204 services200 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.
136 services125 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.

Internal Medicine
3800 VENETIAN WAY
NEWBURGH, IN 47630
Nurse Practitioner (Acute Care)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Internal Medicine (Gastroenterology)
3800 VENETIAN WAY
NEWBURGH, IN 47630
Nurse Practitioner (Acute Care)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Non-Pharmacy Dispensing Site
3800 VENETIAN WAY
NEWBURGH, IN 47630
Internal Medicine (Gastroenterology)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Nurse Practitioner (Family)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630
Internal Medicine (Gastroenterology)
3800 VENETIAN WAY, STE 200
NEWBURGH, IN 47630

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 Evansville Endoscopy Surgery Center, LLC's NPI number?

The NPI number for Evansville Endoscopy Surgery Center, LLC is 1669044111. It was assigned to this organization in the NPPES registry on July 14, 2021.

Where is Evansville Endoscopy Surgery Center, LLC located?

Evansville Endoscopy Surgery Center, LLC is located at 3800 Venetian Way, Newburgh, IN 47630. The listed phone number is (812) 477-6103.

What is Evansville Endoscopy Surgery Center, LLC's specialty?

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

Does Evansville Endoscopy Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2251908) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evansville Endoscopy Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Evansville Endoscopy Surgery Center, 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 Evansville Endoscopy Surgery Center, LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.