Organization Active NPI

Colon & Rectal Surgical Associates

  • Colon & Rectal Surgery Physician
  • Fayetteville, AR
National Provider Identifier
1740219997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MC-1354 Issued in AR
Legal business name
COLON & RECTAL SURGICAL ASSOCIATES
Practice address
3000 N Market Ave
Suite D
Fayetteville, AR 72703-3514
Phone
(479) 443-9443
Fax
(479) 443-4895
NPI assigned
Jul 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William B Nowlin, M.D.NPI 1093782815
Title
President
Phone
(479) 443-9443

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 Physician 208C00000X MC-1354 AR Primary

Addresses

Primary practice location

3000 N Market Ave
Suite D
Fayetteville, AR 72703-3514

Mailing address

3000 N Market Ave
Suite D
Fayetteville, AR 72703-3514
Phone (479) 443-9443

National Provider Directory

National Provider Directory

Locations

3000 N Market Ave
Ste D
Fayetteville, AR 72703
Phone (479) 443-9443

3302 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 443-9443

Practitioners & affiliated clinicians

Practitioners 3

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740219997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N MARKET AVE",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033514",
            "telephone_number": "479-443-9443",
            "fax_number": "479-443-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N MARKET AVE",
            "address_2": "SUITE D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033514",
            "telephone_number": "479-443-9443",
            "fax_number": "479-443-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-443-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AR",
            "license": "MC-1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • 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.