Organization Active NPI

Columbia Colon and Rectal Surgeons

  • Colon & Rectal Surgery Physician
  • Columbia, SC
National Provider Identifier
1972791200
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
13344 Issued in SC
Legal business name
COLUMBIA COLON AND RECTAL SURGEONS
Practice address
1415 Blanding St
Suite 2
Columbia, SC 29201-2922
Phone
(803) 779-0819
Fax
(803) 779-9476
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Diane K Albert
Title
Business Manager
Phone
(803) 779-0819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 13344 SC Primary

Addresses

Primary practice location

1415 Blanding St
Suite 2
Columbia, SC 29201-2922

Mailing address

1415 Blanding St
Suite 2
Columbia, SC 29201-2922
Phone (803) 779-0819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1972791200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BLANDING ST",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012922",
            "telephone_number": "803-779-0819",
            "fax_number": "803-779-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BLANDING ST",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012922",
            "telephone_number": "803-779-0819",
            "fax_number": "803-779-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA COLON AND RECTAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "803-779-0819"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.