Organization Active NPI

Richard M. Petronella, MD.

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1366785479
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20559 Issued in AZ
Legal business name
RICHARD M. PETRONELLA, MD.
Practice address
3705 N Swan Rd
Tucson, AZ 85718-6939
Phone
(520) 298-3800
Fax
(520) 296-0979
NPI assigned
Mar 27, 2013
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Richard M Petronella, MDNPI 1255327532
Title
President
Phone
(520) 307-5479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20559 AZ Primary

Addresses

Primary practice location

3705 N Swan Rd
Tucson, AZ 85718-6939

Mailing address

PO Box 16593
Tucson, AZ 85732-6593
Phone (520) 298-3800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1366785479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16593",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857326593",
            "telephone_number": "520-298-3800",
            "fax_number": "520-296-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186939",
            "telephone_number": "520-298-3800",
            "fax_number": "520-296-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. PETRONELLA, MD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "PETRONELLA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-307-5479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "20559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.