MEDICARE: ENDOSCOPY CENTER OF MONROE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437658275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOSCOPY CENTER OF MONROE

Provider Business Mailing Address
First Line	:	316 S 6TH ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-7568
Country	:	US
Telephone Number	:	318-325-2649
Fax Number	:	318-812-1205

Provider Business Practice Location Address
First Line	:	316 S 6TH ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-7568
Country	:	US
Telephone Number	:	318-325-2649
Fax Number	:	318-812-1205

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	ANDY WALDO
Credential	:
Telephone Number	:	318-325-2634

Provider Enumeration Date	:	02/07/2018
Last Update Date	:	01/19/2023

Similar Medicare Providers

1417957796 — ENDOSCOPY CENTER OF MONROE
Practice Location Address:

316 S 6TH ST
MONROE, LA
71201-7568

Practice Phone: 318-327-3107
Practice Fax: 318-327-3110

1205964459 — EL SHADDAI COUNSELING & CONSULTATION SERVICES
Practice Location Address:

105 E FRONT ST , SUITE 204
MONROE, MI
48161-2477

Practice Phone: 734-240-0372
Practice Fax: 734-240-0372

1326178104 — JAMES V HIGGINS PHD
Practice Location Address:

1345 MONROE AVE NW
GRAND RAPIDS, MI
49505-4671

Practice Phone: 616-391-7568
Practice Fax: 616-391-7599

1548730393 — HENRY JOSEPH BRUZEAU JR. LMT
Practice Location Address:

3215 CYPRESS ST
WEST MONROE, LA
71291-5204

Practice Phone: 318-557-4467
Practice Fax:

1104452879 — MS. LINDA JOI ISENBERG
Practice Location Address:

5927 JEFFERSON AVE APT 10
ASHTABULA, OH
44004-7568

Practice Phone: 440-228-1548
Practice Fax:

1821738550 — DR. TAYLOR JOAN BOSTONIAN MD
Practice Location Address:

185 S ORANGE AVE
NEWARK, NJ
07103-2757

Practice Phone: 973-972-5018
Practice Fax:

Directions to “ENDOSCOPY CENTER OF MONROE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.