The Colorectal Endosurgery Institute of the Carolinas

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS

Practice address

1439 Stuart Engals Blvd
Suite 100
Mt Pleasant, SC 29464-3305

Phone

(843) 853-7730

Fax

(843) 722-8766

NPI assigned

Apr 30, 2008

Last updated

Dec 14, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

GASTROINTESTINAL SURGICAL SPECIALISTS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Rudolph B Rustin, M.D.

Title

Owner

Phone

(843) 853-7730

Specialties & licenses 1

Addresses

Other identifiers 2

Listed as

The Colorectal Endosurgery Institute of the CarolinasCCN 42C0001083

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Gastrointestinal Surgical Specialists LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Gastrointestinal Surgical Specialists, LLC

  • Colon & Rectal Surgery Physician
  • Mount Pleasant, SC
  • NPI 1760411896
  NPPES parent name

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.

• Brendan Burke Murphy, MD

  • Colon & Rectal Surgery Physician
  • Mount Pleasant, SC
  • NPI 1942228127
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1073789020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 STUART ENGALS BLVD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643305",
            "telephone_number": "843-853-7730",
            "fax_number": "843-722-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 STUART ENGALS BLVD",
            "address_2": "SUITE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643305",
            "telephone_number": "843-853-7730",
            "fax_number": "843-722-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLORECTAL ENDOSURGERY INSTITUTE OF THE CAROLINAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GASTROINTESTINAL SURGICAL SPECIALISTS, LLC",
        "enumeration_date": "2008-04-30",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "RUSTIN",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-853-7730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT ORGANIZATION NPI",
            "identifier": "1760411896",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT ORGANIZATION TAX ID",
            "identifier": "582454655",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delinda H. Terry, M.D.
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• Angelina Vivi Thai
• The Center for Natural Breast Reconstruction
• The Center for Regenerative Medicine
• The Counseling Center at Seacoast
• The Directions Group, Inc.
• The Fertility Center of Charleston
• The Santangelo Clinic PA
• The Southeastern Spine Institute Ambulatory Surgery Center, LLC

• Ambulatory Surgical Clinic/Center in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.