COLORECTAL SURGERY ASSOCIATES PC (NPI# 1730183120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730183120 |
| Entity Type | Organization |
| Organization Name | COLORECTAL SURGERY ASSOCIATES PC |
| Practice Address |
4370 W 109th St Suite 350 Overland Park KS 66211-1361 |
| Mailing Address |
6060 N Oak Trfy Suite 101 Gladstone MO 64118-5130 |
| Practice Telephone | 8169410800 |
| Practice Fax Number | 8169410080 |
| Mailing Telephone | 8169410800 |
| Mailing Fax Number | 8169410080 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | KERI POLTON (OFFICE MANAGER) |
| Authorized Official Telephone | 8162858479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | ========= | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 502936800 | 05 | |
| KS | 200298620A | 05 |
| Street Address |
4370 W 109TH ST SUITE 350 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678096 | Pierre Castera | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2005-06-13 |
| 1902095805 | Benyamine Mizrahi | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2007-10-17 |
| 1134212913 | Jeremy William Cravens | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2006-10-02 |
| 1982608386 | Lina M Obrien | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 |
|---|---|---|---|---|
| 1689678096 | Pierre Castera | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2005-06-13 |
| 1902095805 | Benyamine Mizrahi | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2007-10-17 |
| 1134212913 | Jeremy William Cravens | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2006-10-02 |
| 1982608386 | Lina M Obrien | Colon & Rectal Surgery | 4370 W 109th St, Suite 350, Overland Park, KS 66211-1361 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114258886 | Ab Jetmore Md LLC | Colon & Rectal Surgery | 21106 W 95th Ter, Lenexa, KS 66220-5600 | 2010-01-20 |
| 1053480897 | Colorectal Surgery Pa | Colon & Rectal Surgery | 8901 W 74th St, #148, Shawnee Mission, KS 66204 | 2006-11-07 |
| 1780797142 | Colon and Rectal Surgeons of Kc Pa | Colon & Rectal Surgery | 8901 W 74th St, Suite 149, Shawnee Mission, KS 66204-2204 | 2006-08-17 |
| 1477586030 | Midwest Surgical, P.a. | Colon & Rectal Surgery | 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 | 2006-07-08 |
| 1861437386 | Noel Sanchez | Colon & Rectal Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-18 |
| 1225036767 | Michael G Porter | Colon & Rectal Surgery | 551 N Hillside St, Suite 550, Wichita, KS 67214-4923 | 2005-07-08 |
| 1649277443 | Justin A Reed | Colon & Rectal Surgery | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2005-07-07 |
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.