Active NPI
David W Robertson, DO
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1164631792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4564
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5608
- Fax
- (602) 344-1499
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4564 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
3255 E Elwood St
Phoenix, AZ 85034-7256
Phone (602) 470-5043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4564 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Medical Centers, LLC | Current | Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients | |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Dana Landing Urgent Care LLC | Past | Accepting new patients | |
| Desert Ridge Urgent Care LLC | Past | Accepting new patients | |
| Sun City Urgent Care LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Nextcare Arizona I JV LLC | Past | Accepting new patients |
Locations
5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545
5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935
Interoperability endpoints
- david.robertson@qlmc.directglo.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Urgent Care Clinic/Center
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-
- Urgent Care Clinic/Center
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-
- Urgent Care Clinic/Center
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- NPI 1861458309
-
- Urgent Care Clinic/Center
- Glendale, AZ
- NPI 1043276587
-
- Urgent Care Clinic/Center
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-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
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-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1326000597
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1114983608
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1952367492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1164631792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 E ELWOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850347256",
"telephone_number": "602-470-5043",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5608",
"fax_number": "602-344-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "DAVID",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "4564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.