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CENTER FOR COLON AND RECTAL CARE LLC NPI 1568795409


NPI Information

NPI: 1568795409
Provider Name: CENTER FOR COLON AND RECTAL CARE LLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
12012 WOOD GLEN DR
FORT WAYNE, IN
ZIP 46814
Phone: (260) 672-1719
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CENTER FOR COLON AND RECTAL CARE LLC is a colon rectal surgery in Fort Wayne, IN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. CENTER FOR COLON AND RECTAL CARE LLC NPI is 1568795409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12012 WOOD GLEN DR
FORT WAYNE, IN
ZIP 46814-515
Phone: (260) 672-1719

The provider's authorized official is Nadine L. Floyd .
The authorized official title is Chief Operating Officer and has the following contact phone number (260) 672-1719.

The enumeration date for this NPI number is 9/10/2009 and was last updated on 9/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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