Organization Active NPI

Affiliated Colon and Rectal Surgeons PC

  • Colon & Rectal Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1982793410
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
AFFILIATED COLON AND RECTAL SURGEONS PC
Practice address
1331 N 7TH St Ste 275
Phoenix, AZ 85006-2769
Phone
(602) 252-7004
Fax
(602) 252-6232
NPI assigned
Oct 12, 2006
Last updated
Mar 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Stephen E Brown, MDNPI 1558358275
Title
President
Phone
(602) 252-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X Primary

Addresses

Primary practice location

1331 N 7TH St Ste 275
Phoenix, AZ 85006-2769

Mailing address

1331 N 7TH St Ste 275
Phoenix, AZ 85006-2769
Phone (602) 252-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413001083 AZ Part B Supplier - Clinic/Group Practice 1456345339 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHJDCA

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1982793410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062769",
            "telephone_number": "602-252-7004",
            "fax_number": "602-252-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 275",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062769",
            "telephone_number": "602-252-7004",
            "fax_number": "602-252-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED COLON AND RECTAL SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-252-7004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.