OrganizationActive
Colorectal Assoc Inc
NPI 1063596419 · Colon & Rectal Surgery Physician · Youngstown, OH
Provider details
- NPI number
- 1063596419
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeet Mehta, President(330) 759-8545
- License
- 35036259 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16 Colonial Dr
Youngstown, OH 44505-2137
Phone: (330) 759-8545
Fax: (330) 759-8543
Street-level locationGet directions
Mailing address
16 Colonial Dr
Youngstown, OH 44505-2137
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2010-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.