Tristate Colon and Rectal Associates PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

TRISTATE COLON AND RECTAL ASSOCIATES PC

Practice address

1010 West Chester Pike
Suite 201
Havertown, PA 19083-3442

Phone

(610) 466-7882

Fax

(610) 446-3316

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Taro Arai, MDNPI 1518002393

Title

President/Owner

Phone

(610) 446-7882

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Stephen C. Silver MD Associates Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8510/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Taro Arai, MD

  • Colon & Rectal Surgery Physician
  • Havertown, PA
  • NPI 1518002393
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Louis Butcher, MD

  • Colon & Rectal Surgery Physician
  • Havertown, PA
  • NPI 1891716197
  Medicare reassignment Care Compare group
• Stephen C Silver, MD

  • Colon & Rectal Surgery Physician
  • Havertown, PA
  • NPI 1740325513
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1417092297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WEST CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-466-7882",
            "fax_number": "610-446-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WEST CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-466-7882",
            "fax_number": "610-446-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE COLON AND RECTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "ARAI",
        "authorized_official_first_name": "TARO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-446-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01669001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0142807000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "889853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen C. Silver MD Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Colon & Rectal Surgery Physician in Havertown, PA
• Providers in Havertown, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.