NPIMap

Organization Active NPI

Coloproctology Surgicare, Inc.

  • Endoscopy Clinic/Center
  • Seabrook, TX
National Provider Identifier
1053563833
Registry record updated Oct 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
COLOPROCTOLOGY SURGICARE, INC.
Practice address
2110 Seabrook Cir
Seabrook, TX 77586-1626
Phone
(281) 474-7171
Fax
(281) 474-7177
NPI assigned
Oct 12, 2008
Last updated
Oct 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2008

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

Authorized official

Name
Dr. Marcus Michael Aquino, MDNPI 1043203128
Title
President
Phone
(281) 474-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU
Endoscopy Clinic/Center 261QE0800X NU Primary

Addresses

Primary practice location

2110 Seabrook Cir
Seabrook, TX 77586-1626

Mailing address

2110 Seabrook Cir
Seabrook, TX 77586-1626
Phone (281) 474-7171

Other identifiers 1

IdentifierTypeStateIssuer
1043203128OtherPHYSICIAN NPI#

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223769600000",
    "number": "1053563833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SEABROOK CIR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775861626",
            "telephone_number": "281-474-7171",
            "fax_number": "281-474-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 SEABROOK CIR",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775861626",
            "telephone_number": "281-474-7171",
            "fax_number": "281-474-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOPROCTOLOGY SURGICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-12",
        "last_updated": "2008-10-12",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-474-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NPI#",
            "identifier": "1043203128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seabrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2008; 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.