Colorectal Assoc Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

35036259 Issued in OH

Legal business name

COLORECTAL ASSOC INC

Practice address

16 Colonial Dr
Youngstown, OH 44505-2137

Phone

(330) 759-8545

Fax

(330) 759-8543

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeet Ram Mehta, MD

Title

President

Phone

(330) 759-8545

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Bee Min Lim, MD

  • Colon & Rectal Surgery Physician
  • Youngstown, OH
  • NPI 1144213877
  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1063596419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052137",
            "telephone_number": "330-759-8545",
            "fax_number": "330-759-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052137",
            "telephone_number": "330-759-8545",
            "fax_number": "330-759-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "JEET",
        "authorized_official_middle_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-759-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35036259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965835",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Domonique Collins
• Donae Collins
• Melissa Collinsworth
• Megan L Collopy, RN
• Colonial Manor Operating Co., Inc.
• Cara E Colucci, MS, BCBA, COBA
• Tina Marie Colucci, PHARMD, RPH
• Beth A Comanescu
• William C Combs, LPCC
• Comfortbrook Hospice, LLC

• Colon & Rectal Surgery Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Colon & Rectal Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.