RECTAL DIAGNOSTICS & TREATMENT CENTER NPI 1295869824

NPI Information

  • NPI: 1295869824
  • Provider Name: RECTAL DIAGNOSTICS & TREATMENT CENTER
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • Doing Business As: COLON RECTAL HEALTH CENTER
  • Address: 2315 DOUGHERTY FERRY RD
    SUITE 107
    SAINT LOUIS, MO
    ZIP 63122
  • Phone: (314) 966-7570

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NPI Details

RECTAL DIAGNOSTICS & TREATMENT CENTER is a colon rectal surgery in Saint Louis, MO. 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. RECTAL DIAGNOSTICS & TREATMENT CENTER NPI is 1295869824. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colon Rectal Health Center.

The provider's business location address is:

2315 DOUGHERTY FERRY RD
SUITE 107
SAINT LOUIS, MO
ZIP 63122-313
Phone: (314) 966-7570
Fax: (314) 966-7788

The provider's authorized official is Steven Mark Abbadessa .
The authorized official title is President and has the following contact phone number (314) 966-7570.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/10/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208C00000XColon & Rectal SurgeryR5J14MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A65281MEDICARE UPINMISSOURI

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: 11/21/2025

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