Pikes Peak Center for Colon & Rectal Surgery

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

42378 Issued in CO

Legal business name

PIKES PEAK CENTER FOR COLON & RECTAL SURGERY

Practice address

559 East Pikes Peak Ave
Suite #300
Colorado Springs, CO 80903

Phone

(719) 635-0454

Fax

(719) 473-3476

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

William G. Rudolph, M.D.NPI 1407917875

Title

Owner

Phone

(719) 635-0454

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• William Garth Rudolph, M.D.

  • Colon & Rectal Surgery Physician
  • Virginia Beach, VA
  • NPI 1407917875
  NPD (past) Authorized official
• James M Larkin, MD

  • Surgery Physician
  • Colorado Springs, CO
  • NPI 1427192855
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285795567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 EAST PIKES PEAK AVE",
            "address_2": "SUITE #300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-635-0454",
            "fax_number": "719-473-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 EAST PIKES PEAK AVE",
            "address_2": "SUITE #300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80903",
            "telephone_number": "719-635-0454",
            "fax_number": "719-473-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK CENTER FOR COLON & RECTAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-635-0454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CO",
            "license": "42378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68302584",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Anesthesia Associates P.C.
• Pikes Peak Behavioral Services, LLC
• Pikes Peak Board of Cooperative Educational Services
• Pikes Peak Cab LLC
• Pikes Peak Cardiology a Professional LLP
• Pikes Peak Center for Regenerative Medicine, LLC
• Pikes Peak Dental X-Ray, Inc
• Pikes Peak Discharge Clinic
• Pikes Peak Endoscopy and Surgery Center, LLC
• Pikes Peak ENT

• Colon & Rectal Surgery Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Colon & Rectal Surgery Physician in Colorado

• 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.