Copper Mountain Surgical PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COPPER MOUNTAIN SURGICAL PLLC

Practice address

4135 S Power Rd Ste 117
Mesa, AZ 85212-3625

Phone

(480) 495-9399

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Wesley High, DONPI 1073958005

Title

Surgeon/Owner

Phone

(480) 495-9399

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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

• Wesley David High, D.O

  • Surgery Physician
  • Mesa, AZ
  • NPI 1073958005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1760112825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852361267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 S POWER RD STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123625",
            "telephone_number": "480-495-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER MOUNTAIN SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "HIGH",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "SURGEON/OWNER",
        "authorized_official_telephone_number": "480-495-9399",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthfusion.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4135 S Power Rd Ste 117",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852123625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexia Meghan Coppell
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• Copper Family Dental Company, P.C.
• Copper Heights
• Copper Leaf Counseling LLC
• Copper Sage Health LLC
• Copper Star Medical Supply
• Copper State Counseling
• Copper State Hospital and Surgical
• Copper State Laboratory Services

• Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.