Colon & Rectal Care Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

50002167A Issued in IN

Legal business name

COLON & RECTAL CARE INC

Practice address

7430 N Shadeland Ave
Colon & Rectal Care Suite 200
Indianapolis, IN 46250

Phone

(317) 841-8090

Fax

(317) 577-7538

NPI assigned

Aug 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susie Hansen

Title

Administrator

Phone

(317) 841-8090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1033222633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 N SHADELAND AVE",
            "address_2": "COLON & RECTAL CARE SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-841-8090",
            "fax_number": "317-577-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 N SHADELAND AVE",
            "address_2": "COLON & RECTAL CARE SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-841-8090",
            "fax_number": "317-577-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-841-8090"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "50002167A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236230A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Collins, M.D.
• Stephen Collins
• Tiffany Renita Collins, COTA
• Ann E Collison, NP
• Theresa Collison
• Destiny Marie Colon
• Isaias Fernando Colon
• Leslie Erin Colon, RN, FNP-C
• Katie Colone, NP
• Colorful Horizons, LLC

• Colon & Rectal Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Colon & Rectal Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.