CAROLINA COLON & RECTAL SPECIALISTS PA (NPI# 1447861968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447861968 |
| Entity Type | Organization |
| Organization Name | CAROLINA COLON & RECTAL SPECIALISTS PA |
| Practice Address |
3049 Senna Dr Matthews NC 28105-6727 |
| Practice Telephone | 9803395155 |
| Practice Fax Number | 9802168522 |
| Mailing Telephone | 9803395155 |
| Mailing Fax Number | 9802168522 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | DR. BRIAN JERBY (SURGEON) |
| Authorized Official Telephone | 9803395155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3049 SENNA DR |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780147108 | Legacy Health Pa | Clinic/Center | 3049 Senna Dr, Matthews, NC 28105-6727 | 2019-04-11 |
| 1215561097 | Susan Heather Jerby | Nurse Practitioner | 3049 Senna Dr, Matthews, NC 28105-6727 | 2020-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493239 | William Alfred Walker | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2005-11-04 |
| 1295178986 | Melissa Silva Zoumberos | Colon & Rectal Surgery | 14 Medical Park Dr, Asheville, NC 28803 | 2013-04-11 |
| 1821358748 | Warqaa M Akram | Colon & Rectal Surgery | 600 Moye Blvd, Greenville, NC 27834-4300 | 2012-05-24 |
| 1285952002 | Benny Yee-chun Chong | Colon & Rectal Surgery | 200 Medical Park Dr, Suite 400, Concord, NC 28025-2982 | 2010-05-05 |
| 1629395579 | Nicole Chaumont | Colon & Rectal Surgery | 101 Manning Dr, Dept of Surgery Cb#7050, Chapel Hill, NC 27514 | 2010-04-30 |
| 1811166549 | Western Wake Surgical PC | Colon & Rectal Surgery | 155 Parkway Office Ct, Suite 101, Cary, NC 27518-7427 | 2008-02-27 |
| 1023296647 | Carolina Colorectal Surgery, PC | Colon & Rectal Surgery | 2501 Atrium Dr, Suite 305, Raleigh, NC 27607-6452 | 2008-02-06 |
| 1003937079 | Kevin Kasten | Colon & Rectal Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2007-04-03 |
| 1497702773 | Edmund Rutherford J Rutherford | Colon & Rectal Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2006-05-30 |
| 1831155738 | Charlotte Colon & Rectal Surgery Associates Pa | Colon & Rectal Surgery | 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.