Organization
COLORECTAL SURGERY PA
Active
Organization
COLORECTAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CARMEN CIROCCO MD (OWNER)
(913) 831-1900
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, #148, SHAWNEE MISSION, KS 66204
(913) 831-1900
(913) 831-1999
Mailing address
8901 W 74TH ST, #148, SHAWNEE MISSION, KS 66204
(913) 831-1900
(913) 831-1999
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0424933
KS
208C00000X
Colon & Rectal Surgery Physician
105102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007494A
—
KS
Enumeration date
11/07/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up