Physician Compare National (NPI:1609917418)

HEALTHCARE PROVIDER: GREGORY A ROBERTSON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1609917418
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749200368
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051129000029
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROBERTSON
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5240 E KNIGHT DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 118
	Group Practice or individual's line 2 address
City	TUCSON
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	857122122
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TUCSON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030119
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY GILBERT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	030036
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHANDLER REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	030121
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MOUNTAIN VISTA MEDICAL CENTER, LP
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y