Organization Active NPI

Patricia Roberts, LLC

Doing business as Patricia Roberts, M.D.

  • Primary Care Clinic/Center
  • Anthem, AZ
National Provider Identifier
1629221593
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
31523 Issued in AZ
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

Updated by the provider on Oct 23, 2008

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)CodeLicenseStatePrimary
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. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.