SALEM ENDOSCOPY CENTER, LLC
NPI 1730121401
Clinic/Center - Ambulatory Surgical in Salem, OR

NPI Status: Active since June 10, 2006

Contact Information

875 OAK ST SE
SUITE 3095
SALEM, OR
ZIP 97301
Phone: (503) 561-8170
Fax: (503) 561-8167

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 38D1043689
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-31-2027

About SALEM ENDOSCOPY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Salem Endoscopy Center, Llc, a provider established in Salem, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1730121401 assigned on June 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 071573 (OR). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Zoe Ann Wendolowski Rn (Nurse Administrator)

NPI
1730121401
Provider Name
SALEM ENDOSCOPY CENTER, LLC
Entity Type
Organization
Location Address
875 OAK ST SE SUITE 3095 SALEM, OR 97301
Location Phone
(503) 561-8170
Location Fax
(503) 561-8167
Mailing Address
875 OAK ST SE SUITE 3095 SALEM, OR 97301
Mailing Phone
(503) 561-8170
Mailing Fax
(503) 561-8167
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2006
Last Update Date
05-13-2014
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
071573
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. ZOE ANN WENDOLOWSKI RN

Authorized Official Title
NURSE ADMINISTRATOR
Authorized Official Phone
(503) 561-8170

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R133654MEDICARE ID-TYPE UNSPECIFIED (04)OR 
P356301OTHER (01)ORPACIFIC SOURCE
102447500OTHER (01)ORREGENCE BCBS
005765MEDICAID (05)OR 
339145OTHER (01)ORPROVIDENCE
P00280629OTHER (01)ORRAILROAD MEDICARE

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.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

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.

This service was performed 38 times for 37 patients

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 398 times for 397 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 161 times for 160 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 174 times for 171 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 50 times for 49 patients

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

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 45 times for 45 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 40 times for 40 patients

Diagnostic exam of lower portion of large bowel using a flexible endoscope

This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.

This service was performed 12 times for 12 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 25 times for 23 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 790 times for 784 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
38D1043689
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 01, 2025
Certificate Expiration Date
July 31, 2027
Laboratory Director
MAKKALEARN EM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Salem Endoscopy Center, Llc 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.

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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 1730121401, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
1
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 3 → 6 1 → 2 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 2 + 2 + 2 + 4 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1730121401.

Other Providers at the Same Location


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

Neurological Surgery
875 OAK ST SE, STE 5060
SALEM, OR 97301
Physician Assistant (Surgical)
875 OAK ST SE, SUITE 5020
SALEM, OR 97301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
875 OAK ST SE, SUITE 5020
SALEM, OR 97301
Psychiatry & Neurology (Psychiatry)
875 OAK ST SE, STE 3070
SALEM, OR 97301
Physician Assistant (Medical)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Obstetrics & Gynecology (Gynecology)
875 OAK ST SE, SUITE 5090
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, STE 5085
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Internal Medicine (Gastroenterology)
875 OAK ST SE, STE 3010
SALEM, OR 97301
Internal Medicine (Cardiovascular Disease)
875 OAK ST SE, SUITE 5080
SALEM, OR 97301
Physician Assistant (Surgical)
875 OAK ST SE, SUITE 5020
SALEM, OR 97301
Surgery
875 OAK ST SE, #4010
SALEM, OR 97301
Internal Medicine (Clinical Cardiac Electrophysiology)
875 OAK ST SE, SUITE #5040
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, #5060
SALEM, OR 97301
Plastic Surgery
875 OAK ST SE, STE 4060
SALEM, OR 97301
Allergy & Immunology
875 OAK ST SE, #4000
SALEM, OR 97301
Pharmacy (Institutional Pharmacy)
875 OAK ST SE, COM PHARMACY
SALEM, OR 97301
Internal Medicine (Hematology & Oncology)
875 OAK ST SE, SUITE 4030
SALEM, OR 97301
Obstetrics & Gynecology (Obstetrics)
875 OAK ST SE
SALEM, OR 97301
Neurological Surgery
875 OAK ST SE, SUITE 5085
SALEM, OR 97301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730121401, enumerated as an "organization" on June 10, 2006.

The provider is located at 875 OAK ST SE SUITE 3095 SALEM, OR 97301 and the phone number is (503) 561-8170.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.