Annapolis Colon and Rectal Surgeons LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

D56357 Issued in MD

Legal business name

ANNAPOLIS COLON AND RECTAL SURGEONS LLC

Practice address

2002 Medical Pkwy
Suite 360
Annapolis, MD 21401-3046

Phone

(410) 573-1699

Fax

(410) 573-5311

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven G. Proshan, M.D.NPI 1487754933

Title

Owner

Phone

(410) 573-1699

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8193/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Steven Gerald Proshan, MD

  • Colon & Rectal Surgery Physician
  • Annapolis, MD
  • NPI 1487754933
  Medicare reassignment Care Compare group NPD Authorized official
• Mari Anne Madsen, M.D.

  • Colon & Rectal Surgery Physician
  • West Hollywood, CA
  • NPI 1942286638

  MD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1447439088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE 360",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-573-1699",
            "fax_number": "410-573-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY",
            "address_2": "SUITE 360",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013046",
            "telephone_number": "410-573-1699",
            "fax_number": "410-573-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAPOLIS COLON AND RECTAL SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "PROSHAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-573-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MD",
            "license": "D56357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103601700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "75440001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "KCT5",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annapolis Back & Neck Center, LLC
• Annapolis Bus Co Inc (Towne Transport)
• Annapolis Cardiology Consultants
• Annapolis Center for Integrative Medicine
• Annapolis Children's Therapy Center LLC
• Annapolis Counseling Center, LLC
• Annapolis Dermatology Center, PA
• Annapolis Ear Nose Throat & Allergy Associates P a
• Annapolis Endocrinology Associates LLC
• Annapolis Endodontics

• Colon & Rectal Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Colon & Rectal Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.