Tracey Rose Holbert, CSFA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

209104 Issued in TX

Practice address

4120 E Calle Cambujo
Tucson, AZ 85712-6403

Phone

(817) 739-8595

NPI assigned

Nov 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracey Rose Samko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1053186437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 E CALLE CAMBUJO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126403",
            "telephone_number": "817-739-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 E CALLE CAMBUJO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126403",
            "telephone_number": "817-739-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4120 E Calle Cambujo",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126403",
            "country_code": "US",
            "telephone_number": "817-739-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "TRACEY",
        "middle_name": "ROSE",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "209104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "SAMKO",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helen Alicia Hoft
• Judy Maureen Hogan, PH D. , M.A.
• Lynn A Hoge, RPH
• Patricia Catherine Hohl
• Diana L. Holan
• Daniel A Holbery, M.ED
• Billie M Holbrook, D.M.D.
• Jill Nadine Holbrook, FNP
• Tammy Holcomb, PHARM.D.
• Charles Andrew Holdbrooks, PHARM.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.