Active NPI
Rom Probill LLC
- Sports Medicine (Orthopaedic Surgery) Physician
- Scottsdale, AZ
National Provider Identifier
1366019234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ROM PROBILL LLC
- Practice address
- 4400 N Scottsdale Rd Ste 9-88
Scottsdale, AZ 85251-3331 - Phone
- (602) 429-0404
- NPI assigned
- Jun 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Gibbs
- Title
- Manager
- Phone
- (602) 429-0404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
4400 N Scottsdale Rd Ste 9-88
Scottsdale, AZ 85251-3331
Mailing address
4400 N Scottsdale Rd Ste 9-88
Scottsdale, AZ 85251-3331
Phone (602) 429-0404
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623110400000",
"number": "1366019234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 N SCOTTSDALE RD STE 9-88",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513331",
"telephone_number": "602-429-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 N SCOTTSDALE RD STE 9-88",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513331",
"telephone_number": "602-429-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROM PROBILL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "602-429-0404"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.