AUSTIN COLON & RECTAL CLINIC PLLC (NPI# 1528108792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528108792 |
Entity Type | Organization |
Organization Name | AUSTIN COLON & RECTAL CLINIC PLLC |
Other Organization Name | CENTRAL TEXAS COLON AND RECTAL SURGEONS |
Practice Address |
4106 Medical Pkwy Austin TX 78756 |
Mailing Address |
4106 Medical Pkwy Austin TX 78756-3722 |
Practice Telephone | 5124181979 |
Practice Fax Number | 5124181943 |
Mailing Telephone | 5124181979 |
Mailing Fax Number | 5124181943 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2018-07-20 |
Authorized Official Name | YVONNE LEZA (ADMINISTRATIVE SPECIALIST) |
Authorized Official Telephone | 5124181979 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 200434301 | 05 |
Other Name | Type Code |
---|---|
Central Texas Colon and Rectal Surgeons | Doing Business As Name - Organization |
Street Address |
4106 MEDICAL PKWY |
City | AUSTIN |
State | TX |
Zip Code | 78756 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073597688 | David Clark Fleeger | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2005-12-06 |
1588001424 | Amar S Shah | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2013-06-02 |
1336327980 | John S Mangione, Md, Pa | Specialist | 4106 Medical Pkwy, Austin, TX 78756-3722 | 2008-02-06 |
1871778209 | Robert W Cline Md Pa | Specialist | 4106 Medical Pkwy, Austin, TX 78756-3722 | 2008-01-03 |
1780869271 | William George Robertson IIi | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756-3722 | 2008-01-03 |
1134323926 | April West Fox | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2007-06-13 |
1437195724 | John Stewart Mangione | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756-3722 | 2006-06-22 |
1578547188 | Ernest Doyle Graves IIi | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
Find all providers in zip 78756 |
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 |
---|---|---|---|---|
1891802732 | Ricardo Lerma Solis | Colon & Rectal Surgery | 4207 James Casey St Ste 200, Austin, TX 78745 | 2006-08-24 |
1679582530 | William G Robertson Md Pa | Colon & Rectal Surgery | 4106 Medical Parkway, Austin, TX 78756 | 2006-08-07 |
1689645194 | Robert W Cline | Colon & Rectal Surgery | 4106 Medical Parkway Street, Austin, TX 78756-3722 | 2006-02-01 |
1073597688 | David Clark Fleeger | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2005-12-06 |
1588001424 | Amar S Shah | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2013-06-02 |
1780869271 | William George Robertson IIi | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756-3722 | 2008-01-03 |
1134323926 | April West Fox | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2007-06-13 |
1437195724 | John Stewart Mangione | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756-3722 | 2006-06-22 |
1578547188 | Ernest Doyle Graves IIi | Colon & Rectal Surgery | 4106 Medical Pkwy, Austin, TX 78756 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588083984 | Pamela Daher | Colon & Rectal Surgery | 1005 Harborside Dr 5th Floor, Galveston, TX 77555-2088 | 2014-04-14 |
1093133118 | Bethany Malone | Colon & Rectal Surgery | 909 9th Ave Ste 401, Fort Worth, TX 76104-3918 | 2014-04-04 |
1801235940 | Kessem Research and Consulting | Colon & Rectal Surgery | 2429 Bissonnet St Ste 468, Houston, TX 77005-1451 | 2013-06-21 |
1538456561 | Christopher Ryan Dwyer | Colon & Rectal Surgery | 515 W Mayfield Rd Ste 250, Arlington, TX 76014-2084 | 2011-06-28 |
1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
1144536962 | Eric R. Kaplan, M.d., P.a. | Colon & Rectal Surgery | 6130 West Parker Rd, Ste 112, Plano, TX 75093 | 2010-08-31 |
1174847370 | Texas Health Care, P.l.l.c. | Colon & Rectal Surgery | 1325 Pennsylvania Ave Ste 400, Fort Worth, TX 76104-2128 | 2010-03-17 |
1225272198 | Trinity Colon and Rectal Surgery Clinic, Pa | Colon & Rectal Surgery | 8067 West Virginia Drive, Dallas, TX 75237 | 2009-04-23 |
1073763181 | Laurie Susan Novosad | Colon & Rectal Surgery | 5236 W University Dr Ste 4300, Mckinney, TX 75071-8128 | 2008-09-25 |
1528222817 | Anuj Raj Kandel | Colon & Rectal Surgery | 2460 N I 35 Ste 275, Waxahachie, TX 75165-5266 | 2008-07-15 |
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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.