Active NPI
Garry William Pohoretsky, M.D.
- Maternal & Fetal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 19736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001173 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19736 | AZ | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ton San Simon Health Center | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Ton Santa Rosa Health Center | Current | Accepting new patients | |
| TMC Medical Network | Current | Accepting new patients | |
| Ton Sells Hospital | Current | 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.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tucson, AZ
- NPI 1518905793
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sells, AZ
- NPI 1326080425
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sells, AZ
- NPI 1699717785
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.