Organization Active NPI

Colorado County Surgical Associates, PLLC

  • Surgery Physician
  • Columbus, TX
National Provider Identifier
1487688487
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COLORADO COUNTY SURGICAL ASSOCIATES, PLLC
Practice address
1860 Highway 71 S
Columbus, TX 78934-2816
Phone
(979) 732-6552
Fax
(979) 732-2056
NPI assigned
Jul 10, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Julio Arebalo, M.D.NPI 1447284443
Title
Officer
Phone
(979) 732-6552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1860 Highway 71 S
Columbus, TX 78934-2816

Mailing address

1860 Highway 71 S
Columbus, TX 78934-2816
Phone (979) 732-6552

National Provider Directory

National Provider Directory

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1487688487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HIGHWAY 71 S",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789342816",
            "telephone_number": "979-732-6552",
            "fax_number": "979-732-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 HIGHWAY 71 S",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789342816",
            "telephone_number": "979-732-6552",
            "fax_number": "979-732-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO COUNTY SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "AREBALO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "979-732-6552",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.