Preston Clark Roby, CRNA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30613 Issued in AZ

Practice address

3655 E Penny LN
Cottonwood, AZ 86326-7611

Phone

(928) 634-3902

NPI assigned

Feb 21, 2008

Last updated

Feb 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1306015581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E PENNY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863267611",
            "telephone_number": "928-634-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E PENNY LN",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863267611",
            "telephone_number": "928-634-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "PRESTON",
        "middle_name": "CLARK",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "30613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Jochim, MD LTD
• Robertson Center, PC
• Michael Raymond Robertson, D.M.D.
• Jack A. Robinson, MA
• Jane Elizabeth Robinson, LMHC
• Robert Scott Roderick, LPC
• Linda Roemer, PHD NP-C
• Jazmine Cynice Roland, ATC
• Charles Joseph Rolle, MD
• Cristy Rose

• Anesthesiology Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.