Individual provider Active NPI

Randall W Fehr, MD

  • Psychiatry Physician
  • Oro Valley, AZ
National Provider Identifier
1184706624
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21307 Issued in AZ
Practice address
10371 N Oracle Rd
Suite 204
Oro Valley, AZ 85737-9394
Phone
(520) 877-3336
Fax
(520) 877-3339
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21307 AZ Primary

Addresses

Primary practice location

10371 N Oracle Rd
Suite 204
Oro Valley, AZ 85737-9394

Mailing address

10371 N Oracle Rd
Suite 204
Oro Valley, AZ 85737-9394
Phone (520) 877-3336

Other identifiers 1

IdentifierTypeStateIssuer
342105MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1184706624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 N ORACLE RD",
            "address_2": "SUITE 204",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379394",
            "telephone_number": "520-877-3336",
            "fax_number": "520-877-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 N ORACLE RD",
            "address_2": "SUITE 204",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379394",
            "telephone_number": "520-877-3336",
            "fax_number": "520-877-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHR",
        "first_name": "RANDALL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "21307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342105",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.