Tulsa Colon and Rectal Surgery Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

TULSA COLON AND RECTAL SURGERY INC

Practice address

4735 E 91St
200
Tulsa, OK 74137-2804

Phone

(918) 794-4788

Fax

(918) 794-4789

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Scott A Fengler, MD

Title

Secretary Treasurer

Phone

(918) 294-4788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Dylan Michaela Kelly Barnes, MD

  • Colon & Rectal Surgery Physician
  • Tulsa, OK
  • NPI 1306405741
  NPD (past)
• Kaitlin Paige Domek

  • Colon & Rectal Surgery Physician
  • Tulsa, OK
  • NPI 1932595576
  NPD (past)
• Andrew C Antill, MD

  • Colon & Rectal Surgery Physician
  • Raleigh, NC
  • NPI 1457748980

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083774236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 E 91ST",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372804",
            "telephone_number": "918-794-4788",
            "fax_number": "918-794-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 E 91ST",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372804",
            "telephone_number": "918-794-4788",
            "fax_number": "918-794-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA COLON AND RECTAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENGLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "918-294-4788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE RR MC",
            "identifier": "C54766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tulsa City-County Health Department
• Tulsa City-County Health Department
• Tulsa City-County Health Department
• Tulsa City-County Health Department
• Tulsa City-County Health Department
• Tulsa Cosmetic Dental Center
• Tulsa County Juvenile Justice Trust Authority
• Tulsa CT LLC
• Tulsa Day Center for the Homeless Inc
• Tulsa Dental Group, Inc

• Colon & Rectal Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Colon & Rectal Surgery Physician in Oklahoma

• 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.