COLON AND RECTAL SURGERY CONSULTANTS PC NPI 1215145974

NPI Information

  • NPI: 1215145974
  • Provider Name: COLON AND RECTAL SURGERY CONSULTANTS, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1321 SUNSET DR
    SUITE 22
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 610-1177

Map and Directions

Get Directions

NPI Details

COLON AND RECTAL SURGERY CONSULTANTS, PC is a specialist in Johnson City, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLON AND RECTAL SURGERY CONSULTANTS, PC NPI is 1215145974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1321 SUNSET DR
SUITE 22
JOHNSON CITY, TN
ZIP 37604-698
Phone: (423) 610-1177
Fax: (423) 610-1179

The provider's authorized official is Connie J Pennington .
The authorized official title is President and has the following contact phone number (423) 610-1177.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD0000030358TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERTENNESSEEEIN
23370584MEDICAIDTENNESSEE
3H69589MEDICARE UPIN
43370584MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI