Active NPI
Oakland Colon & Rectal Assoc P C
- Colon & Rectal Surgery Physician
- Royal Oak, MI
National Provider Identifier
1215128293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Wasvary, MD
- Title
- Owner
- Phone
- (248) 541-8554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Royal Oak, MI
- NPI 1609281690
Colon & Rectal Surgery, MI
-
- Surgery Physician
- Saint Louis, MO
- NPI 1811302573
Colon & Rectal Surgery, MI
-
- Surgery Physician
- Royal Oak, MI
- NPI 1144316340
Colon & Rectal Surgery, MI
-
- Colon & Rectal Surgery Physician
- Royal Oak, MI
- NPI 1356324313
Colon & Rectal Surgery
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": "193400000X SINGLE SPECIALTY 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.