Organization Active NPI

Western Neurosurgery. LTD.

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1306274790
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5556 Issued in AZ
Legal business name
WESTERN NEUROSURGERY. LTD.
Practice address
6567 E Carondelet Dr
Suite 305
Tucson, AZ 85710-6152
Phone
(520) 881-8400
Fax
(520) 881-6563
NPI assigned
Oct 22, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Dr. Robert Goldfarb, M.D.NPI 1356321954
Title
President
Phone
(520) 881-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5556 AZ Primary

Addresses

Primary practice location

6567 E Carondelet Dr
Suite 305
Tucson, AZ 85710-6152

Mailing address

4219 N Rillito Creek PL
Tucson, AZ 85719-1152
Phone (520) 591-5525

National Provider Directory

National Provider Directory
Tax ID family
Western Neurosurgery LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1306274790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 N RILLITO CREEK PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191152",
            "telephone_number": "520-591-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6567 E CARONDELET DR",
            "address_2": "SUITE 305",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106152",
            "telephone_number": "520-881-8400",
            "fax_number": "520-881-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEUROSURGERY. LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "GOLDFARB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-881-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5556",
            "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 Oct 22, 2013; 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.