Colorectal Specialists LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

34009253 Issued in OH

Legal business name

COLORECTAL SPECIALISTS LLC

Practice address

4925 Bradenton Ave Ste C
Dublin, OH 43017-7532

Phone

(614) 921-8686

Fax

(614) 921-8696

NPI assigned

Jan 16, 2009

Last updated

Jul 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Paul Reed, DONPI 1811198583

Title

President

Phone

(614) 921-8686

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• David Paul Reed, D.O.

  • Colon & Rectal Surgery Physician
  • Dublin, OH
  • NPI 1811198583
  Medicare reassignment NPD Authorized official
• Jessica Stearns, D.O.

  • Colon & Rectal Surgery Physician
  • Cottonwood Heights, UT
  • NPI 1538378922
  NPD (past)

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1871730580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 BRADENTON AVE STE C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177532",
            "telephone_number": "614-921-8686",
            "fax_number": "614-921-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 BRADENTON AVE STE C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177532",
            "telephone_number": "614-921-8686",
            "fax_number": "614-921-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORECTAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-921-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "34009253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Colon & Rectal Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.