Colon & Rectal Clinic LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

COLON & RECTAL CLINIC LLC

Practice address

40 Medical Park
Wheeling, WV 26003-6392

Phone

(000) 000-0000

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Ahmed H. Kalla, MDNPI 1528170727

Title

Physician

Phone

(304) 233-9314

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Hasan Kalla, M.D.

  • Colon & Rectal Surgery Physician
  • Wheeling, WV
  • NPI 1528170727
  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053532259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6855",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030923",
            "telephone_number": "304-233-9314",
            "fax_number": "304-233-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALLA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-233-9314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichole Coleman
• Catherine Carey Coleman, MD
• Diane Marie Coleman, TVI
• Kimberly A Coleman
• Molly Jo Collins
• Melissa Louise Comer
• James Louis Comerci, MD
• Yukiko Comstock, LPC, MA, NCC
• Helen Conaway
• Sandy Conaway, PT

• Colon & Rectal Surgery Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Colon & Rectal Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.