Philip Rentz Rast, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

29366 Issued in GA

Practice address

1605 Mulkey Rd
BLDG 2, Suite 210
Austell, GA 30106-1127

Phone

(770) 739-2474

Fax

(770) 944-6357

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• West Cobb Urology, PC

  • Urology Physician
  • Austell, GA
  • NPI 1689780835
  NPD (past) Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1437265683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 MULKEY RD",
            "address_2": "BLDG 2, SUITE 210",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061127",
            "telephone_number": "770-739-2474",
            "fax_number": "770-944-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MULKEY RD",
            "address_2": "BLDG 2, SUITE 210",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061127",
            "telephone_number": "770-739-2474",
            "fax_number": "770-944-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAST",
        "first_name": "PHILIP",
        "middle_name": "RENTZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "29366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Stephenson Ramirez, NP
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• Reach 2 Empower, Inc.

• Urology Physician in Austell, GA
• Providers in Austell, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.