Tristate Surgical Associates PLLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

TRISTATE SURGICAL ASSOCIATES PLLC

Practice address

2744 Silvercreek Rd
Bullhead City, AZ 86442-7913

Phone

(928) 704-7166

Fax

(928) 704-7144

NPI assigned

Jun 18, 2006

Last updated

Jan 29, 2008By 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

Dr. Jim D. Bates, D.O.NPI 1275572992

Title

Physician

Phone

(928) 704-7166

Specialties & licenses 1

Addresses

Locations

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.

• Jim D. Bates, D.O.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bullhead City, AZ
  • NPI 1275572992
  Authorized official Same address or phone

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1467497933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427913",
            "telephone_number": "928-704-7166",
            "fax_number": "928-704-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 SILVERCREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427913",
            "telephone_number": "928-704-7166",
            "fax_number": "928-704-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-704-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.