Colon & Rectal Center of Utah P C

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COLON & RECTAL CENTER OF UTAH P C

Practice address

1250 E 3900 S Ste 320
Salt Lake City, UT 84124-1350

Phone

(801) 263-1621

Fax

(801) 906-0556

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Peter W. Bossart, MD

Title

Owner

Phone

(801) 263-1621

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1912181421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 TENTH AVE",
            "address_2": "#280",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032853",
            "telephone_number": "801-408-5930",
            "fax_number": "801-408-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241350",
            "telephone_number": "801-263-1621",
            "fax_number": "801-906-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL CENTER OF UTAH P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BOSSART",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-263-1621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Kimberly Collinwood
• Alex Collopy, PHD
• Cierra Renee Collum, LMFT
• Howard Colman, M.D.
• Kristy Colmenares
• Roberto G. Colon-Miranda, M.D.
• Alexander Lorenzo Colonna, M.D.
• Sarah V Colonna, MD
• Colorado Therapy & Assessment Center (Aspen Ridge Mental Health)
• Lauri B. Colosimo, RPT

• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.