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COPPER STATE HOSPITAL AND SURGICAL
NPI 1154746865
Physician Assistant - Surgical in Mesa, AZ

Active since March 04, 2014
2852 S CARRIAGE LN, MESA, AZ 85202(480) 706-9430 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Copper State Hospital And Surgical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPER STATE HOSPITAL AND SURGICAL (NPI 1154746865) is a healthcare organization registered as a surgical in Mesa, Arizona and active in the NPI registry since March 2014. The organization lists James Herzog, Owner, as its authorized official.

NPPES Registry Identity

NPI1154746865
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameCOPPER STATE HOSPITAL AND SURGICAL
Location Address2852 S CARRIAGE LNMesa, AZ 85202-7801
Mailing AddressPo Box 40760Mesa, AZ 85274-0760 · (480) 706-9430
Phone(480) 706-9430
Organization SubpartNo
Authorized OfficialJames HerzogOwner · (480) 706-9430
Enumeration DateMarch 4, 2014
✔ NPI 1154746865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · 5596
2852 S CARRIAGE LN, Mesa, AZ 85202
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM L COHEN MD
Surgery
2852 S CARRIAGE LN
MESA, AZ 85202
Maricopa County (480) 706-9430
SUN VALLEY HOSPITAL AND SURGICAL SERVICES, LLC
Specialist
2852 S CARRIAGE LN
MESA, AZ 85202
Maricopa County (480) 706-9430
MESQUITE HOSPITAL AND SURGICAL
Physician Assistant (Surgical)
2852 S CARRIAGE LN
MESA, AZ 85202
Maricopa County (480) 706-9430
MR. MATTHEW CRAIG LEWIS CSA
Physician Assistant (Surgical)
2852 S CARRIAGE LN
MESA, AZ 85202
Maricopa County (480) 706-9430
OCOTILLO HOSPITAL AND SURGICAL SERVICES, LLC
Specialist
2852 S CARRIAGE LN
MESA, AZ 85202
Maricopa County (480) 706-9430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Copper State Hospital And Surgical's NPI number?

The NPI number for Copper State Hospital And Surgical is 1154746865. It was assigned to this organization in the NPPES registry on March 4, 2014.

Where is Copper State Hospital And Surgical located?

Copper State Hospital And Surgical is located at 2852 S Carriage Ln, Mesa, AZ 85202. The listed phone number is (480) 706-9430.

What is Copper State Hospital And Surgical's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Copper State Hospital And Surgical was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.