Mission Colon & Rectal Specialists PLLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

MISSION COLON & RECTAL SPECIALISTS PLLC

Practice address

2120 Prairie Dr Ste 502
Prosper, TX 75078-3820

Phone

(682) 559-0671

NPI assigned

Dec 27, 2024

Organization subpart

No

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

Authorized official

Name

Anthonia Adewole, MDNPI 1598907925

Title

PLLC

Phone

(682) 559-0671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Anthonia D Adewole, M.D

  • Colon & Rectal Surgery Physician
  • Prosper, TX
  • NPI 1598907925
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1730997305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S PRESTON RD STE 116264",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093885",
            "telephone_number": "682-559-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PRAIRIE DR STE 502",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783820",
            "telephone_number": "682-559-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION COLON & RECTAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "ADEWOLE",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_title_or_position": "PLLC",
        "authorized_official_telephone_number": "682-559-0671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mings
• Anish Mirchandani, D.O.
• Cody Mircovich
• Mirror Image Surgical Assisting LLC
• Mispine & Joint Care PLLC
• Zach William Mitchell
• Trisha Modi
• Jumana Mohammed
• Holly Elizabeth Mohrmann
• Victor Manuel Moncada, DDS,MS

• Colon & Rectal Surgery Physician in Prosper, TX
• Providers in Prosper, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.