Organization Active NPI

Oakland Colon & Rectal Assoc P C

  • Colon & Rectal Surgery Physician
  • Royal Oak, MI
National Provider Identifier
1215128293
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
OAKLAND COLON & RECTAL ASSOC P C
Practice address
1121 Crooks Rd
Royal Oak, MI 48067
Phone
(248) 541-8554
Fax
(248) 541-1791
NPI assigned
Aug 6, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Harry Wasvary, MDNPI 1952383150
Title
Owner
Phone
(248) 541-8554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MI Primary

Addresses

Primary practice location

1121 Crooks Rd
Royal Oak, MI 48067

Mailing address

1121 Crooks Rd
Royal Oak, MI 48067
Phone (248) 541-8554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000246 MI Part B Supplier - Clinic/Group Practice 9830282953 Receives reassigned benefits from 7 practitioners
Practice locations: Royal Oak, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1215128293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-541-8554",
            "fax_number": "248-541-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-541-8554",
            "fax_number": "248-541-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND COLON & RECTAL ASSOC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "WASVARY",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-541-8554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.