Colon and Rectal Surgeons of KC PA

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

R7G39 Issued in MO

Legal business name

COLON AND RECTAL SURGEONS OF KC PA

Practice address

8901 W 74TH St
Suite 149
Shawnee Mission, KS 66204-2204

Phone

(913) 677-4010

Fax

(913) 677-1164

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Vivona

Title

Practice Manager

Phone

(913) 677-4010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Sanjay Vijaya Thekkeurumbil, MD

  • Colon & Rectal Surgery Physician
  • Indianapolis, IN
  • NPI 1902065261

  Colon & Rectal Surgery

  NPD (past)
• Erin Marie Williamson, R.N.,MSN,APRN

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1487884995
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1780797142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "SUITE 149",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042204",
            "telephone_number": "913-677-4010",
            "fax_number": "913-677-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "SUITE 149",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042204",
            "telephone_number": "913-677-4010",
            "fax_number": "913-677-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON AND RECTAL SURGEONS OF KC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "VIVONA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "913-677-4010"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "R7G39",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE MED LICENS",
            "identifier": "R7G39",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ragland Clancey, M.D.
• Caitlin E Clark, CRNA
• Mark J Clifft, MD
• Kimberly Ann Cochran, MD
• Emmett Love Coleman, DMD
• Colorectal Surgery PA
• Maura Conry, LCSW, LSCSW
• David A. Cooley, M.D.
• Beth Cooper, CRNA
• E Evonne Cooper, PT

• All providers in Shawnee Mission, KS
• Colon & Rectal Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.