Colon Andrectal Surgeons of Fairfield County, LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

COLON ANDRECTAL SURGEONS OF FAIRFIELD COUNTY, LLC

Practice address

2660 Main St
Suite 302
Bridgeport, CT 06606-5369

Phone

(203) 331-8700

Fax

(203) 335-5819

NPI assigned

Jan 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa A Piccioli, BA

Title

Practice Administrator

Phone

(203) 331-8700

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• John M. Aversa Jr., D.O

  • Colon & Rectal Surgery Physician
  • Hamden, CT
  • NPI 1588830699
  NPD (past)
• Marilee L Freitas, M.D.

  • Colon & Rectal Surgery Physician
  • Stamford, CT
  • NPI 1023285343
  NPD (past)
• Scott Christopher Thornton, MD

  • Colon & Rectal Surgery Physician
  • Fairfield, CT
  • NPI 1750351995
  NPD (past)
• Marcella W Bradway, M.D.

  • Colon & Rectal Surgery Physician
  • Pittsfield, MA
  • NPI 1669478657
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265402416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 MAIN ST",
            "address_2": "SUITE 302",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065369",
            "telephone_number": "203-331-8700",
            "fax_number": "203-335-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 MAIN ST",
            "address_2": "SUITE 302",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065369",
            "telephone_number": "203-331-8700",
            "fax_number": "203-335-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON ANDRECTAL SURGEONS OF FAIRFIELD COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICCIOLI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-331-8700",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Maria Collazo
• Collins Pharmacy Inc (Collins Medical Equipment)
• Patricia A. Collins, D.C., D.A.B.C.O.
• Racquel Collins
• Tara L. Collins, PT,CSCS
• Natalie Colon, RN
• Columbia Mental Health LLC
• Emily Rose Coman, PA-C
• Richard Combden, O.D.
• Commerce Park Dental Group LLC (Commerce Park Children's Dentistry and Orthodontics)

• Colon & Rectal Surgery Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Colon & Rectal Surgery Physician in Connecticut

• 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.