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COLON AND RECTAL SURGERY INC NPI 1629076302


NPI Information

NPI: 1629076302
Provider Name: COLON AND RECTAL SURGERY INC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
985 NICHOLAS STREET
SUITE 100
OMAHA, NE
ZIP 68114
Phone: (402) 343-1122
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COLON AND RECTAL SURGERY INC is a colon rectal surgery in Omaha, NE. 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. COLON AND RECTAL SURGERY INC NPI is 1629076302. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

985 NICHOLAS STREET
SUITE 100
OMAHA, NE
ZIP 68114
Phone: (402) 343-1122
Fax: (402) 343-1177

The provider's authorized official is Andy Stockton .
The authorized official title is Practice Administrator and has the following contact phone number (402) 343-1122.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/21/2022.


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 SurgeryNEBRASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
193791OTHERIOWABCBS OF IOWA WELLMARK
201922OTHERNEBRASKABCBS OF NEBRASKA
3CH7569OTHERRR MEDICARE PALMETO GPA
40937912MEDICAIDIOWA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.