Active NPI
Edwin P Rather, MD
- Dermatology Physician
- Tucson, AZ
National Provider Identifier
1386684512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 8592
- Practice address
- 6640 E Carondelet Dr
Tucson, AZ 85710-2119 - Phone
- (520) 886-4199
- Fax
- (520) 886-3114
- NPI assigned
- Jun 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 8592 | AZ | Primary |
| Dermatopathology Physician | 207ND0900X | 8592 | AZ |
Addresses
Primary practice location
6640 E Carondelet Dr
Tucson, AZ 85710-2119
Mailing address
6640 E Carondelet Dr
Tucson, AZ 85710-2119
Phone (520) 886-4199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z1079 | Other | AZ | HEALTHNET |
| 0626402 | Other | AZ | AETNA |
| AZ0005340 | Other | AZ | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8592 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tucson Dermatology LTD | Dermatology | Current | Accepting new patients |
Locations
6565 E Carondelet Dr
Ste 145
Tucson, AZ 85710
Phone (520) 886-4199
6640 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 886-4199
Organizations & group practices 1
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.
-
- Dermatology Physician
- Tucson, AZ
- NPI 1992754824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1386684512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102119",
"telephone_number": "520-886-4199",
"fax_number": "520-886-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6640 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857102119",
"telephone_number": "520-886-4199",
"fax_number": "520-886-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHER",
"first_name": "EDWIN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "8592",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AZ",
"license": "8592",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z1079",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0626402",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0005340",
"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 Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.