Surgical Specialty Group PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SURGICAL SPECIALTY GROUP PC

Doing business as

The Colon & Rectal Clinic

Practice address

511 SW 10TH Avenue
Suite 714
Portland, OR 97205-2708

Phone

(503) 222-1615

Fax

(503) 222-0016

NPI assigned

Nov 14, 2006

Last updated

Nov 5, 2013By 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

Mrs. Olga Maria Veis

Title

Clinic Manager

Phone

(503) 222-1615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Colon & Rectal Clinic Doing business as

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1902978984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVENUE",
            "address_2": "SUITE 714",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052708",
            "telephone_number": "503-222-1615",
            "fax_number": "503-222-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVENUE",
            "address_2": "SUITE 714",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052708",
            "telephone_number": "503-222-1615",
            "fax_number": "503-222-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "VEIS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-222-1615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084061",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Colon & Rectal Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surgery Center at St. Vincent, LLC (East Pavilion Surgery Center)
• Surgery Recovery Clinic, LLC
• Surgical Associats, PC
• Surgical Center, Inc
• Surgical Oncology Associates, P,C.
• Gurvinder S Suri, MD
• Kathleen Suriano
• Kimberly Ann Suriano, MD
• Charisse Surio, PHARMD
• Summer Dancing-Sky Surley

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.