COLON & RECTAL SURGERY LTD. NPI 1659390698

NPI Information

  • NPI: 1659390698
  • Provider Name: COLON & RECTAL SURGERY, LTD.
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • Address: 1088 W BALTIMORE PIKE
    SUITE 2101
    MEDIA, PA
    ZIP 19063
  • Phone: (610) 565-3435

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NPI Details

COLON & RECTAL SURGERY, LTD. is a colon rectal surgery in Media, PA. 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 & RECTAL SURGERY, LTD. NPI is 1659390698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1088 W BALTIMORE PIKE
SUITE 2101
MEDIA, PA
ZIP 19063-136
Phone: (610) 565-3435
Fax: (610) 566-1387

The provider's authorized official is Kenneth J Boyd .
The authorized official title is President and has the following contact phone number (610) 565-3435.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/14/2010.

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 SurgeryYes

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
1CF6297OTHERGEORGIAPALMETTO GBA
2190824MEDICARE PINPENNSYLVANIA
3190824MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA
40091202000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
5190824OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
632129OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLA
70009855080003MEDICAIDPENNSYLVANIA

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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