Organization Active NPI

Central Indiana Proctology PC

  • Colon & Rectal Surgery Physician
  • Kokomo, IN
National Provider Identifier
1134318892
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
CENTRAL INDIANA PROCTOLOGY PC
Practice address
2315 W Jefferson St
Kokomo, IN 46901-4119
Phone
(765) 342-3686
Fax
(765) 452-0224
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Sandy Curts, CMM
Title
Office Manager
Phone
(765) 342-3686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X IN Primary

Addresses

Primary practice location

2315 W Jefferson St
Kokomo, IN 46901-4119

Mailing address

PO Box 1716
Martinsville, IN 46151-0716
Phone (765) 342-3686

National Provider Directory

National Provider Directory

Locations

2315 W Jefferson St
Kokomo, IN 46901
Phone (765) 342-3686

2317 W Jefferson St
Kokomo, IN 46901
Phone (317) 342-3686

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1134318892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1716",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461510716",
            "telephone_number": "765-342-3686",
            "fax_number": "765-342-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W JEFFERSON ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014119",
            "telephone_number": "765-342-3686",
            "fax_number": "765-452-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA PROCTOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "CURTS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-342-3686",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.