Active NPI
Gregory Robertson, M.D., P.C.
- Surgery Physician
- Tucson, AZ
National Provider Identifier
1902239551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17506
- Legal business name
- GREGORY ROBERTSON, M.D., P.C.
- Practice address
- 5240 E Knight Dr
Suite 118
Tucson, AZ 85712-2122 - Phone
- (520) 319-1455
- Fax
- (520) 316-1454
- NPI assigned
- Aug 19, 2013
- 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
- Dr. Gregory Robertson, M.C.
- Title
- Owner/Physician
- Phone
- (520) 319-1455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17506 | AZ | Primary |
Addresses
Primary practice location
5240 E Knight Dr
Suite 118
Tucson, AZ 85712-2122
Mailing address
5240 E Knight Dr
Suite 118
Tucson, AZ 85712-2122
Phone (520) 319-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296170-004 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
5240 E Knight Dr
Ste 118
Tucson, AZ 85712
Phone (520) 319-1455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457308800000",
"number": "1902239551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "SUITE 118",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-319-1455",
"fax_number": "520-316-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E KNIGHT DR",
"address_2": "SUITE 118",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122122",
"telephone_number": "520-319-1455",
"fax_number": "520-316-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY ROBERTSON, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-19",
"last_updated": "2016-03-07",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "520-319-1455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.C."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "17506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296170-004",
"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 Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.