Individual provider Active NPI

Harold A Romero, P.A.

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1669476461
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2827 Issued in AZ
Practice address
4727 E. Camp Lowell Drive
Tucson, AZ 85712-1256
Phone
(520) 290-4263
Fax
(520) 323-2716
NPI assigned
Jun 9, 2005
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2827 AZ Primary

Addresses

Primary practice location

4727 E. Camp Lowell Drive
Tucson, AZ 85712-1256

Mailing address

4727 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 290-4263

Other identifiers 1

IdentifierTypeStateIssuer
118638OtherAZMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071119000388 AZ Practitioner - Physician Assistant 0143318527

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Express Care, PLLC CurrentSince Oct 20, 2013 Accepting new patients
Sendero Medicine, PLLC PastSince Mar 9, 2019 Accepting new patients

Locations

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1669476461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-290-4263",
            "fax_number": "520-323-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 E. CAMP LOWELL DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-290-4263",
            "fax_number": "520-323-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "HAROLD",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "118638",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.