COLON & RECTAL CLINIC OF EAST TEXAS (NPI# 1538492038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538492038 |
| Entity Type | Organization |
| Organization Name | COLON & RECTAL CLINIC OF EAST TEXAS |
| Practice Address |
617 Russell Blvd Nacogdoches TX 75965-1247 |
| Practice Telephone | 9362055900 |
| Practice Fax Number | 9362055909 |
| Mailing Telephone | 9362055900 |
| Mailing Fax Number | 9362055909 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | MR. GREGORY DEWAYNE MCCLAIN (CEO) |
| Authorized Official Telephone | 6084439420 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | N3408 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
617 RUSSELL BLVD |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407084114 | Rachel B Head | Urology | 617 Russell Blvd, Nacogdoches, TX 75965-1247 | 2009-07-01 |
| 1770130437 | Rebekah Marie Wagoner | Nurse Practitioner | 617 Russell Blvd, Nacogdoches, TX 75965-1247 | 2019-08-19 |
| 1891028395 | Advanced Surgical Associates of East Texas | Surgery | 617 Russell Blvd, Nacogdoches, TX 75965-1247 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588083984 | Pamela Daher | Colon & Rectal Surgery | 1005 Harborside Dr 5th Floor, Galveston, TX 77555-2088 | 2014-04-14 |
| 1093133118 | Bethany Malone | Colon & Rectal Surgery | 909 9th Ave Ste 401, Fort Worth, TX 76104-3918 | 2014-04-04 |
| 1801235940 | Kessem Research and Consulting | Colon & Rectal Surgery | 2429 Bissonnet St Ste 468, Houston, TX 77005-1451 | 2013-06-21 |
| 1538456561 | Christopher Ryan Dwyer | Colon & Rectal Surgery | 515 W Mayfield Rd Ste 250, Arlington, TX 76014-2084 | 2011-06-28 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1144536962 | Eric R. Kaplan, M.d., P.a. | Colon & Rectal Surgery | 6130 West Parker Rd, Ste 112, Plano, TX 75093 | 2010-08-31 |
| 1174847370 | Texas Health Care, P.l.l.c. | Colon & Rectal Surgery | 1325 Pennsylvania Ave Ste 400, Fort Worth, TX 76104-2128 | 2010-03-17 |
| 1225272198 | Trinity Colon and Rectal Surgery Clinic, Pa | Colon & Rectal Surgery | 8067 West Virginia Drive, Dallas, TX 75237 | 2009-04-23 |
| 1073763181 | Laurie Susan Novosad | Colon & Rectal Surgery | 5236 W University Dr Ste 4300, Mckinney, TX 75071-8128 | 2008-09-25 |
| 1528222817 | Anuj Raj Kandel | Colon & Rectal Surgery | 2460 N I 35 Ste 275, Waxahachie, TX 75165-5266 | 2008-07-15 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.