Colon and Rectal Associates of South Texas

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

G9395 Issued in TX

Legal business name

COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS

Practice address

613 Elizabeth St Ste 809
Corpus Christi, TX 78404-2232

Phone

(361) 883-3831

Fax

(361) 887-0146

NPI assigned

Mar 29, 2007

Last updated

Jan 3, 2024By 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

Cheryl Lynn Mican

Title

Practice Manager

Phone

(361) 883-3831

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1427177377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 809",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042232",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 809",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042232",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON AND RECTAL ASSOCIATES OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "MICAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "361-883-3831"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "E7836",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "G9395",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "M0423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101550502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114250703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172277901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Ferguson Cole, DC
• Mary Jo Cole, CCC-SLP
• Harris Martin Coleman, PT, DPT
• Nancy Coll
• Harley Collier, SLP
• Kendra Jean Colson, PHARMD
• Johnathan Colunga
• James Gregory Colvin
• Susan Comer, M.D.
• Community Action Corporation of South Texas (ECI Project Ninos)

• Colon & Rectal Surgery Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.