NPIMap

Organization Active NPI

Colon & Rectal Surgery Associates LTD

  • Colon & Rectal Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1376596775
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
567 Issued in MN
Legal business name
COLON & RECTAL SURGERY ASSOCIATES LTD
Practice address
3433 Broadway St NE
Suite 115
Minneapolis, MN 55413-1740
Phone
(651) 312-1500
Fax
(651) 312-1570
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Dr. Michael Paul Spencer, MD
Title
President Ceo
Phone
(651) 312-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 567 MN Primary

Addresses

Primary practice location

3433 Broadway St NE
Suite 115
Minneapolis, MN 55413-1740

Mailing address

3433 Broadway St NE
Suite 115
Minneapolis, MN 55413-1740
Phone (651) 312-1500

National Provider Directory

National Provider Directory

Locations

11850 Blackfoot St NW
Ste 270
Coon Rapids, MN 55433
Phone (651) 312-1711

6363 France Ave S
Ste 212
Edina, MN 55435
Phone (651) 312-1700

3433 Broadway St NE
Ste 115
Minneapolis, MN 55413
Phone (651) 312-1500

2805 Campus Dr
#405
Plymouth, MN 55441
Phone (651) 312-1717

1983 Sloan Pl
Ste 7
Saint Paul, MN 55117
Phone (651) 312-1620

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1376596775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE",
            "address_2": "SUITE 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131740",
            "telephone_number": "651-312-1500",
            "fax_number": "651-312-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE",
            "address_2": "SUITE 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131740",
            "telephone_number": "651-312-1500",
            "fax_number": "651-312-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGERY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "651-312-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MN",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.