Individual provider Active NPI

Garry William Pohoretsky, M.D.

  • Maternal & Fetal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1740326115
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
19736 Issued in AZ
Practice address
5301 E Grant Rd
Tucson, AZ 85712-2805
Phone
(520) 795-8188
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 19736 AZ Primary

Addresses

Primary practice location

5301 E Grant Rd
Tucson, AZ 85712-2805

Mailing address

PO Box 32502
Tucson, AZ 85751-2502
Phone (520) 297-6125

Other practice location 1

2001 W Orange Grove Rd
Suite 408
Tucson, AZ 85704-1139
Phone (520) 297-6125

Other identifiers 1

IdentifierTypeStateIssuer
001173MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050225000232 AZ Practitioner - Obstetrics/Gynecology 2860445251 Reassigns benefits to 1 organization
I20160426000776 TX Practitioner - Obstetrics/Gynecology 2860445251 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

2380 N Ferguson Ave
Tucson, AZ 85712-2837

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 324-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19736AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Simon Health Center CurrentSince Mar 19, 2016 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 19, 2016 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Mar 19, 2016 Accepting new patients
TMC Medical Network CurrentSince Apr 1, 2017 Accepting new patients
Ton Sells Hospital CurrentSince Mar 19, 2016 Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients

Locations

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

1845 W Orange Grove Rd
Ste 107
Tucson, AZ 85704
Phone (520) 525-5766

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5550 E Hampton St
Tucson, AZ 85712
Phone (520) 420-2260

10350 E Drexel Rd
Ste 260
Tucson, AZ 85747
Phone (520) 324-1727

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1740326115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32502",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857512502",
            "telephone_number": "520-297-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-795-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W Orange Grove Rd",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041139",
            "country_code": "US",
            "telephone_number": "520-297-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POHORETSKY",
        "first_name": "GARRY",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "19736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001173",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.