Organization Active NPI

Southwestern Colon & Rectal Surgery, PA

  • Specialist
  • Austin, TX
National Provider Identifier
1083716138
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L1757 Issued in TX
Legal business name
SOUTHWESTERN COLON & RECTAL SURGERY, PA
Practice address
4007 James Casey Dr Ste D150
Austin, TX 78745-3346
Phone
(512) 447-8911
Fax
(512) 447-8761
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Ricardo Lerma Solis, M.D.
Title
Medical Director
Phone
(512) 447-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L1757 TX Primary

Addresses

Primary practice location

4007 James Casey Dr Ste D150
Austin, TX 78745-3346

Mailing address

4007 James Casey Dr Ste D150
Austin, TX 78745-3346
Phone (512) 447-8911

Other identifiers 1

IdentifierTypeStateIssuer
8B9880OtherTXBCBS

National Provider Directory

National Provider Directory

Locations

4007 James Casey St
Ste D150
Austin, TX 78745
Phone (512) 447-8911

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1083716138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 JAMES CASEY DR STE D150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453346",
            "telephone_number": "512-447-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 JAMES CASEY DR STE D150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453346",
            "telephone_number": "512-447-8911",
            "fax_number": "512-447-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN COLON & RECTAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "LERMA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-447-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L1757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B9880",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.