Colorado Springs Colon and Rectal Surgery LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

38764 Issued in CO

Legal business name

COLORADO SPRINGS COLON AND RECTAL SURGERY LLC

Practice address

1625 Medical Center PT
Suite #212
Colorado Springs, CO 80907-8731

Phone

(719) 475-2566

Fax

(719) 475-2483

NPI assigned

Oct 11, 2007

Organization subpart

Yes

Parent organization

MARIA HOUSE-JAVEED, M.D.As reported in NPPES

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

Authorized official

Name

Dr. Maria House Javeed, M.D.

Title

President

Phone

(719) 475-2566

Specialties & licenses 1

Addresses

Part of

Colorado Springs Colon and

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1356539605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE #212",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-475-2566",
            "fax_number": "719-475-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "address_2": "SUITE #212",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078731",
            "telephone_number": "719-475-2566",
            "fax_number": "719-475-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO SPRINGS COLON AND RECTAL SURGERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIA HOUSE-JAVEED, M.D.",
        "enumeration_date": "2007-10-11",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "JAVEED",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "HOUSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-475-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CO",
            "license": "38764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 1, 2010; 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.