MEDICARE: NORWOOD ENDOSCOPY CENTER, LLC

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	261QA1903X	Ambulatory Surgical Clinic/Center		OH

General Provider Information

NPI Number	:	1659526457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORWOOD ENDOSCOPY CENTER, LLC

Provider Business Mailing Address
First Line	:	4746 MONTGOMERY RD
Second Line	:	SUITE 100
City	:	NORWOOD
State	:	OH
Zip	:	45212-2637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4746 MONTGOMERY RD
Second Line	:	SUITE 100
City	:	NORWOOD
State	:	OH
Zip	:	45212-2637
Country	:	US
Telephone Number	:	513-751-6667
Fax Number	:

Authorized Official
Title or Position	:	OFFICER/AO
Name	:	MR. SCOTT MONTGOMERY
Credential	:
Telephone Number	:	615-545-9132

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	04/24/2026

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