Organization Active NPI

Colo-Rectal Associates

  • Colon & Rectal Surgery Physician
  • Monroeville, PA
National Provider Identifier
1427057892
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
COLO-RECTAL ASSOCIATES
Practice address
2566 Haymaker Rd
Suite206
Monroeville, PA 15146-3517
Phone
(412) 373-8040
Fax
(412) 856-5471
NPI assigned
Jul 19, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nancy Marshall
Title
Patient Accounts Manager
Phone
(412) 373-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X PA Primary

Addresses

Primary practice location

2566 Haymaker Rd
Suite206
Monroeville, PA 15146-3517

Mailing address

2566 Haymaker Rd
Suite206
Monroeville, PA 15146-3517
Phone (412) 373-8040

Other identifiers 1

IdentifierTypeStateIssuer
80547OtherPAAETNA US HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000931 PA Part B Supplier - Clinic/Group Practice 2062461635 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, PA

National Provider Directory

National Provider Directory

Locations

2566 Haymaker Rd
Ste 102
Monroeville, PA 15146
Phone (412) 373-6800

2566 Haymaker Rd
Ste 206
Monroeville, PA 15146
Phone (412) 373-8040

9000 Brooktree Rd
Ste 400
Wexford, PA 15090
Phone (412) 934-1600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427057892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD",
            "address_2": "SUITE206",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463517",
            "telephone_number": "412-373-8040",
            "fax_number": "412-856-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD",
            "address_2": "SUITE206",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463517",
            "telephone_number": "412-373-8040",
            "fax_number": "412-856-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLO-RECTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "412-373-8040"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "80547",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.