JAEDA GOTHBERG CAA
NPI 1306613260
Anesthesiologist Assistant in Aurora, CO

Active since December 11, 2023Accepts Medicare Assignment
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaeda Gothberg Caa NPPES

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

JAEDA GOTHBERG CAA (NPI 1306613260) is an individual anesthesiologist assistant in Aurora, Colorado, licensed in Colorado (ANT.0000235) and active in the NPI registry since December 2023. She is a graduate of University Of Colorado School Of Medicine, Aurora (2023).

NPPES Registry Identity

NPI1306613260
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameJAEDA GOTHBERGCredential: CAA
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2023
Enumeration DateDecember 11, 2023
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
NPI 1306613260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in CO · ANT.0000235
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

12605 E 16TH AVE, Aurora, CO 80045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaeda Gothberg Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244682227
PECOS Enrollment IDI20240115001695

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Advanced Practice Midwife
12605 E 16TH AVE, UNIVERSITY OF COLORADO HOSPITAL
AURORA, CO 80045
Radiology (Diagnostic Radiology)
12605 E 16TH AVE
AURORA, CO 80045
Dermatology
12605 E 16TH AVE
AURORA, CO 80045
Advanced Practice Midwife
12605 E 16TH AVE
AURORA, CO 80045
Internal Medicine (Hematology & Oncology)
12605 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12605 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12605 E 16TH AVE
AURORA, CO 80045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306613260, enumerated as an "individual" on December 11, 2023.

The provider is located at 12605 E 16TH AVE AURORA, CO 80045 and the phone number is (720) 848-0000.

Anesthesiologist Assistant with taxonomy code 367H00000X.