NPIMap

Organization Active NPI

Valley Colon and Rectal Surgical Specialists, PLLC

  • Colon & Rectal Surgery Physician
  • Mesa, AZ
National Provider Identifier
1588924948
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
P-1760941-5 Issued in AZ
Legal business name
VALLEY COLON AND RECTAL SURGICAL SPECIALISTS, PLLC
Practice address
4153 South Power Rd
Suite 120
Mesa, AZ 85212-3626
Phone
(480) 256-8128
Fax
(888) 430-0365
NPI assigned
May 20, 2012
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Dr. Mary Elizabeth Schultheis, M.D.NPI 1831218981
Title
Owner
Phone
(480) 257-2736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X P-1760941-5 AZ Primary

Addresses

Primary practice location

4153 South Power Rd
Suite 120
Mesa, AZ 85212-3626

Mailing address

PO Box 3125
Tempe, AZ 85280-3125
Phone (314) 432-2580

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1588924948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3125",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852803125",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 SOUTH POWER RD",
            "address_2": "SUITE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123626",
            "telephone_number": "480-256-8128",
            "fax_number": "888-430-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COLON AND RECTAL SURGICAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-257-2736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "AZ",
            "license": "P-1760941-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.