Active NPI
Patricia Roberts, LLC
Doing business as Patricia Roberts, M.D.
- Primary Care Clinic/Center
- Anthem, AZ
National Provider Identifier
1629221593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 31523
- Legal business name
- PATRICIA ROBERTS, LLC
- Doing business as
- Patricia Roberts, M.D.
- Practice address
- 3624 W Anthem Way
C108
Anthem, AZ 85086-0440 - Phone
- (623) 594-6866
- NPI assigned
- Oct 23, 2008
- 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
- Dr. Patricia Roberts, M.D.
- Title
- Physician/Owner
- Phone
- (623) 594-6866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 31523 | AZ | Primary |
Addresses
Primary practice location
3624 W Anthem Way
C108
Anthem, AZ 85086-0440
Mailing address
3624 W Anthem Way
C108
Anthem, AZ 85086-0440
Phone (623) 594-6866
Other names 1
- Patricia Roberts, M.D.
National Provider Directory
National Provider DirectoryLocations
41125 N Daisy Mountain Dr
Ste 109
Anthem, AZ 85086
Phone (623) 594-6866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1629221593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 W ANTHEM WAY",
"address_2": "C108",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850860440",
"telephone_number": "623-594-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 W ANTHEM WAY",
"address_2": "C108",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850860440",
"telephone_number": "623-594-6866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA ROBERTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "623-594-6866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AZ",
"license": "31523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Patricia Roberts, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anthem, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.