COLON AND RECTAL SURGERY CONSULTANTS, PC
NPI 1215145974
Specialist in Johnson City, TN

Q: What is Colon And Rectal Surgery Consultants, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 18, 2007

1321 SUNSET DR, SUITE 22, JOHNSON CITY, TN 37604(423) 610-1177(423) 610-1179 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Colon And Rectal Surgery Consultants, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLON AND RECTAL SURGERY CONSULTANTS, PC (NPI 1215145974) is a healthcare organization registered as a specialist in Johnson City, Tennessee and active in the NPI registry since May 2007. The organization lists Connie J Pennington, President, as its authorized official.

NPPES Registry Identity

NPI1215145974

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCOLON AND RECTAL SURGERY CONSULTANTS, PC

Location Address1321 SUNSET DR, SUITE 22Johnson City, TN 37604-3698

Mailing Address1321 Sunset Dr, Suite 22Johnson City, TN 37604-3698 · (423) 610-1177 · Fax (423) 610-1179

Phone(423) 610-1177

Fax(423) 610-1179

Organization SubpartNo

Authorized OfficialConnie J PenningtonPresident · (423) 610-1177

Enumeration DateMay 18, 2007

Last NPPES UpdateApril 20, 2008

✔ NPI 1215145974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · MD0000030358

Definition

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.

1321 SUNSET DR, Johnson City, TN 37604

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Other Identifiers 3

Medicaid3370584TN

Medicare UPINH69589

Medicare PIN3370584

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL E MORAN III MD

Family Medicine

1321 SUNSET DR, SUITE 22
JOHNSON CITY, TN 37604

Washington County (423) 854-9040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colon And Rectal Surgery Consultants, PC's NPI number?

The NPI number for Colon And Rectal Surgery Consultants, PC is 1215145974. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Colon And Rectal Surgery Consultants, PC located?

Colon And Rectal Surgery Consultants, PC is located at 1321 Sunset Dr Suite 22, Johnson City, TN 37604. The listed phone number is (423) 610-1177.

What is Colon And Rectal Surgery Consultants, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Colon And Rectal Surgery Consultants, PC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.