Advanced Colorectal Associates L.L.C

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

DR. WOODWARD'S-6976 Issued in OK

Legal business name

ADVANCED COLORECTAL ASSOCIATES L.L.C

Practice address

4200 W Memorial Rd Ste 612
Oklahoma City, OK 73120-8387

Phone

(405) 749-4201

Fax

(405) 749-4208

NPI assigned

May 27, 2006

Last updated

Mar 30, 2023By 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

Mrs. Urvashi Sanghavi-Saha, M.S.

Title

Office Manager

Phone

(405) 749-4201

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Amit P Saha, M.D.

  • Colon & Rectal Surgery Physician
  • Oklahoma City, OK
  • NPI 1598720013
  Medicare reassignment

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1366499188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 612",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208387",
            "telephone_number": "405-749-4201",
            "fax_number": "405-749-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 612",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208387",
            "telephone_number": "405-749-4201",
            "fax_number": "405-749-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COLORECTAL ASSOCIATES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SANGHAVI-SAHA",
        "authorized_official_first_name": "URVASHI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-749-4201",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OK",
            "license": "DR. SAHA'S -22328",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OK",
            "license": "DR. WOODWARD'S-6976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092670B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004790B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Colon & Rectal Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.

Verify at the official NPI Registry.