NPIMap

Organization Active NPI

Rectal Diagnostics & Treatment Center

  • Colon & Rectal Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1295869824
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
R5J14 Issued in MO
Legal business name
RECTAL DIAGNOSTICS & TREATMENT CENTER
Practice address
2315 Dougherty Ferry Rd
Suite 107
Saint Louis, MO 63122-3313
Phone
(314) 966-7570
Fax
(314) 966-7788
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Steven Mark Abbadessa, D.O.NPI 1881668564
Title
President
Phone
(314) 966-7570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X R5J14 MO Primary

Addresses

Primary practice location

2315 Dougherty Ferry Rd
Suite 107
Saint Louis, MO 63122-3313

Mailing address

2315 Dougherty Ferry Rd
Suite 107
Saint Louis, MO 63122-3313
Phone (314) 966-7570

Other names 1

  • Colon Rectal Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 821-6889

12401 Olive Blvd
Ste 103
Saint Louis, MO 63141
Phone (314) 439-0777

Practitioners & affiliated clinicians

Practitioners 4

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1295869824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-7570",
            "fax_number": "314-966-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-966-7570",
            "fax_number": "314-966-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECTAL DIAGNOSTICS & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "ABBADESSA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-966-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "R5J14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colon Rectal Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.