NPIMap

Organization Active NPI

Collaborative Associates in Surgical Assisting

  • Registered Nurse
  • Tucson, AZ
National Provider Identifier
1184911257
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN139696 Issued in AZ
Legal business name
COLLABORATIVE ASSOCIATES IN SURGICAL ASSISTING
Practice address
5601 E. Camino del Celador
Tucson, AZ 85750
Phone
(520) 303-4780
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeremy Erren Gofton, RNFANPI 1265760284
Title
Ceo
Phone
(520) 979-9178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN139696 AZ Primary

Addresses

Primary practice location

5601 E. Camino del Celador
Tucson, AZ 85750

Mailing address

5601 E. Camino del Celador
Tucson, AZ 85750
Phone (520) 979-9178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1184911257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 E. CAMINO DEL CELADOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85750",
            "telephone_number": "520-979-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 E. CAMINO DEL CELADOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85750",
            "telephone_number": "520-303-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE ASSOCIATES IN SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "GOFTON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ERREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-979-9178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN139696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.