Organization Active NPI

Tucson Sports Medicine and Orthopedic Surgery PLLC

  • Orthopaedic Surgery Physician
  • Tucson, AZ
National Provider Identifier
1649941758
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TUCSON SPORTS MEDICINE AND ORTHOPEDIC SURGERY PLLC
Practice address
1712 W Anklam Rd Ste 102
Tucson, AZ 85745-2660
Phone
(520) 396-4798
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Mr. Rory Gargus
Title
Owner
Phone
(520) 869-4909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

1712 W Anklam Rd Ste 102
Tucson, AZ 85745-2660

Mailing address

4880 N Avenida de Franelah
Tucson, AZ 85749-8721
Phone (520) 869-4909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1649941758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 N AVENIDA DE FRANELAH",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857498721",
            "telephone_number": "520-869-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 W ANKLAM RD STE 102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452660",
            "telephone_number": "520-396-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON SPORTS MEDICINE AND ORTHOPEDIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "GARGUS",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-869-4909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 28, 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.

Verify at the official NPI Registry.