Organization Active NPI

Colo Proctology Associates PA

  • Colon & Rectal Surgery Physician
  • Houston, TX
National Provider Identifier
1649466517
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
H4861 Issued in TX
Legal business name
COLO PROCTOLOGY ASSOCIATES PA
Practice address
1213 Hermann Dr
Ste 530
Houston, TX 77004-7011
Phone
(713) 523-2121
Fax
(713) 523-2151
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Dr. Marcus Michael Aquino, MDNPI 1043203128
Title
President
Phone
(713) 523-2121

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 H4861 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Ste 530
Houston, TX 77004-7011

Mailing address

1213 Hermann Dr
Ste 530
Houston, TX 77004-7011
Phone (713) 523-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060505000382 TX Part B Supplier - Clinic/Group Practice 0941211981 Receives reassigned benefits from 1 practitioner
Practice locations: Seabrook, TX

National Provider Directory

National Provider Directory

Locations

1213 Hermann Dr
Ste 530
Houston, TX 77004
Phone (713) 341-9685

2110 Seabrook Cir
Seabrook, TX 77586
Phone (281) 474-7171

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1649466517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047011",
            "telephone_number": "713-523-2121",
            "fax_number": "713-523-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047011",
            "telephone_number": "713-523-2121",
            "fax_number": "713-523-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLO PROCTOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-523-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "H4861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.