Healthcare Provider Details

I. General information

NPI: 1326176215
Provider Name (Legal Business Name): ENDOSCOPY CENTER OF ST THOMAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4230 HARDING PIKE STE 309B
NASHVILLE TN
37205-2013
US

IV. Provider business mailing address

1A BURTON HILLS BLVD STE 300
NASHVILLE TN
37215-6153
US

V. Phone/Fax

Practice location:
  • Phone: 615-383-0165
  • Fax: 615-297-9825
Mailing address:
  • Phone: 615-263-4011
  • Fax: 615-234-1720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number StateTN

VIII. Authorized Official

Name: JEFFREY SNODGRASS
Title or Position: PRESIDENT
Credential:
Phone: 615-665-1283