Active NPI
John Frederick Rausch Jr., M.D.
- Internal Medicine Physician
- Phoenix, AZ
National Provider Identifier
1295963338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15460
- Practice address
- 25500 N Norterra Dr
Phoenix, AZ 85085-8200 - Phone
- (602) 885-4269
- Fax
- (860) 339-1424
- NPI assigned
- Jun 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15460 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | 2003025922 | MO | |
| Internal Medicine Physician | 207R00000X | MD150108 | OR | |
| Internal Medicine Physician | 207R00000X | PT 12927 | ND |
Addresses
Primary practice location
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Mailing address
161 N Cardinal St
Gilbert, AZ 85234-1314
Phone (602) 885-4269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003025922 | MO | MD | Internal Medicine Physician |
| PT 12927 | ND | MD | Internal Medicine Physician |
| MD150108 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377907200000",
"number": "1295963338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 N CARDINAL ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852341314",
"telephone_number": "602-885-4269",
"fax_number": "860-339-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 N NORTERRA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858200",
"telephone_number": "602-885-4269",
"fax_number": "860-339-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUSCH",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-28",
"last_updated": "2013-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "15460",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2003025922",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD150108",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "PT 12927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.