Rectal and Colon Surgery Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

RECTAL AND COLON SURGERY INC

Practice address

3216 State St
Erie, PA 16508-2822

Phone

(814) 456-2976

Fax

(814) 456-9613

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By 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

John C Reilly, M.D.

Title

President

Phone

(814) 456-2976

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Edward Glennon

  • Colon & Rectal Surgery Physician
  • Erie, PA
  • NPI 1922094440
  NPD
• Philip Demetrios Kondylis, MD

  • Colon & Rectal Surgery Physician
  • Columbia, SC
  • NPI 1407842016
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548215296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082822",
            "telephone_number": "814-456-2976",
            "fax_number": "814-456-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082822",
            "telephone_number": "814-456-2976",
            "fax_number": "814-456-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECTAL AND COLON SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-456-2976",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006427000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Realm of Recovery, LLC
• Jema Reasoner
• Rebirth Africa
• Patrick John Recio, DO
• Tina Renee Recker, CRNP
• Manasa Reddy, DO
• Pesara P Reddy, M.D.
• Jeanette Ruth Redenius, LSW
• Jacquelyn Redenz, LPC, NCC
• Rachael Redinger

• Colon & Rectal Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Colon & Rectal Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.