NPIMap

Organization Active NPI

Daisy Mountain Surgical Associates PLLC

  • Surgery Physician
  • Anthem, AZ
National Provider Identifier
1952441008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3567 Issued in AZ
Legal business name
DAISY MOUNTAIN SURGICAL ASSOCIATES PLLC
Practice address
3654 W Anthem Way
Suite B102
Anthem, AZ 85086-0455
Phone
(623) 551-3280
Fax
(623) 551-3180
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan Cooper Borjeson, D.O.
Title
Owner
Phone
(623) 551-3280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 3567 AZ Primary

Addresses

Primary practice location

3654 W Anthem Way
Suite B102
Anthem, AZ 85086-0455

Mailing address

3434 W Anthem Way
Suite 118-464
Anthem, AZ 85086-0448
Phone (623) 551-3280

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952441008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W ANTHEM WAY",
            "address_2": "SUITE 118-464",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860448",
            "telephone_number": "623-551-3280",
            "fax_number": "623-551-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 W ANTHEM WAY",
            "address_2": "SUITE B102",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860455",
            "telephone_number": "623-551-3280",
            "fax_number": "623-551-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY MOUNTAIN SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORJESON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "COOPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-551-3280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AZ",
            "license": "3567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.