NPIMap

Organization Active NPI

Gary P Gottlieb MD PC

  • Gastroenterology Physician
  • Tucson, AZ
National Provider Identifier
1558873992
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GARY P GOTTLIEB MD PC
Practice address
7140 E Rosewood St Ste B
Tucson, AZ 85710-1346
Phone
(520) 547-4900
Fax
(520) 547-2435
NPI assigned
Oct 25, 2017
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Gary P Gottlieb, MD
Title
President
Phone
(520) 547-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

7140 E Rosewood St Ste B
Tucson, AZ 85710-1346

Mailing address

7140 E Rosewood St Ste B
Tucson, AZ 85710-1346
Phone (520) 547-4900

Other identifiers 1

IdentifierTypeStateIssuer
850380MedicaidAZ

National Provider Directory

National Provider Directory

Locations

7140 E Rosewood St
Ste B
Tucson, AZ 85710
Phone (520) 547-4900

Practitioners & affiliated clinicians

Practitioners 5

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": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1558873992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 E ROSEWOOD ST STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101346",
            "telephone_number": "520-547-4900",
            "fax_number": "520-547-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 E ROSEWOOD ST STE B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101346",
            "telephone_number": "520-547-4900",
            "fax_number": "520-547-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P GOTTLIEB MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-547-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "850380",
            "state": "AZ"
        }
    ],
    "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 Oct 25, 2017; 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.