Colon & Rectal Surgery Associates PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

11816 Issued in TN

Legal business name

COLON & RECTAL SURGERY ASSOCIATES PA

Practice address

2341 McCallie Ave
Plaza 3 Suite 305
Chattanooga, TN 37404-3239

Phone

(426) 622-2721

Fax

(423) 622-5368

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Haywood Shuck III, MD

Title

President

Phone

(423) 622-2721

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1083882336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "PLAZA 3 SUITE 305",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "426-622-2721",
            "fax_number": "423-622-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "PLAZA 3 SUITE 305",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "426-622-2721",
            "fax_number": "423-622-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGERY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "SHUCK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "HAYWOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-622-2721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "11816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CJ8120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Collins, BSW
• Pamela Collins, NP
• Shea L Collins, M.ED., NCC, CHLC
• Sonya R Collins, M.D.
• Krista Leigh Colmenares, AAPN
• Mary Colonna, SLP
• Marisa Anne Colston, PHD, ATC
• Columbia Medical Group-Parkridge Inc.
• Andrew Glenn Combs, MD
• Jodie Renee Combs, NP-C

• Colon & Rectal Surgery Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Colon & Rectal Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.