CC Assistant Surgeon, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

CC ASSISTANT SURGEON, PLLC

Practice address

2803 E 5TH St
Tucson, AZ 85716

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

May 13, 2015

Last updated

Oct 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudia Y Coello-Rasoumoff, SA-CNPI 1073901492

Title

Owner

Phone

(520) 780-6236

Specialties & licenses 1

Addresses

Other names 1

• Claudia Yamileth Coello-Rasoumoff SA-C Other name

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.

• Claudia Y Coello-Rasoumoff, SA-C

  • Surgical Physician Assistant
  • Tucson, AZ
  • NPI 1073901492
  NPD Authorized official

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1316325012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750302550",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85716",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 E Greenlee Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192011",
            "country_code": "US",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CC ASSISTANT SURGEON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "COELLO-RASOUMOFF",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-780-6236",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claudia Yamileth Coello-Rasoumoff SA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Surgical Physician Assistant in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.