Active NPI
Tucson Sports Medicine and Orthopedic Surgery PLLC
- Orthopaedic Surgery Physician
- Tucson, AZ
National Provider Identifier
1649941758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 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 DirectoryNPI 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": []
}
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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.