Midwest Colon & Rectal Surgery Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

MIDWEST COLON & RECTAL SURGERY INC

Doing business as

Midwest Colon & Rectal Surgery PC

Practice address

13421 Old Meridian St
Suite 210
Carmel, IN 46032-1427

Phone

(317) 844-5273

Fax

(317) 844-5709

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Janean Young

Title

Office Manager

Phone

(317) 844-5273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Colon & Rectal Surgery PC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400335

Practitioners 5

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

• Peter J Davis, M.D.

  • Colon & Rectal Surgery Physician
  • Indianapolis, IN
  • NPI 1033525662
  Medicare reassignment Care Compare group NPD
• Nikhil Mulji Patel, M.D.

  • Colon & Rectal Surgery Physician
  • Indianapolis, IN
  • NPI 1881699296
  Medicare reassignment Care Compare group
• John Scott Pittman, M.D.

  • Colon & Rectal Surgery Physician
  • Carmel, IN
  • NPI 1023013422
  Medicare reassignment Care Compare group
• Scott Dolejs, M.D.

  • Colon & Rectal Surgery Physician
  • Indianapolis, IN
  • NPI 1467890434
  Medicare reassignment NPD
• Patrick Young Park, M.D.

  • Colon & Rectal Surgery Physician
  • Carmel, IN
  • NPI 1912902313
  Medicare reassignment

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1528070224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "address_2": "SUITE 210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321427",
            "telephone_number": "317-844-5273",
            "fax_number": "317-844-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "address_2": "SUITE 210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321427",
            "telephone_number": "317-844-5273",
            "fax_number": "317-844-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COLON & RECTAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JANEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-844-5273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200107880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Colon & Rectal Surgery PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald Dwight Mick, MD
• Mid America Clinical Laboratories, LLC
• Brian C Middleton, MD
• Catherine Lynn Middleton, PT, MBA
• My'Kimbri Middleton, PHARMD
• Midwest Cornea Associates, LLC
• Midwest Eye Retina and Oncology LLC
• Midwest Eye Retina PC
• Midwest Fertility Specialists
• Midwest Pain Institute Center for Minimally Invasive Spine PC

• Colon & Rectal Surgery Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Colon & Rectal Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.