Bart L MC Rae, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

050410 Issued in GA

Practice address

Carondelet Holy Cross Hospital
1171 W. Target Range Road
Nogales, AZ 85621

Phone

(520) 287-2771

NPI assigned

Jun 13, 2006

Last updated

Mar 9, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1467495085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 N MONA LISA RD",
            "address_2": "APT 59",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857414526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARONDELET HOLY CROSS HOSPITAL",
            "address_2": "1171 W. TARGET RANGE ROAD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "85621",
            "telephone_number": "520-287-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC RAE",
        "first_name": "BART",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "050410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198368-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariposa Community Health Center, Inc
• Antonio Martinez Barrera
• Martinez Home Care
• Jeffrey Thomas Maudlin, M.D.
• Norma A N Mayer, MA, LPC
• Shalonda Nekesh McAdams Marshall, LPC
• Med-Trans Corporation
• Omar Mendoza, M.D.
• Raquel Anne Mendoza, FNP-C
• Mentally Ill Kids in Distress

• Emergency Medicine Physician in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.